Organization
SANTA CLARA HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LYON (CHIEF EXECUTIVE OFFICER)
(505) 988-9821
Entity
Organization
Contact information
Practice address
STATE ROAD 30 LOS ALAMOS HIGHWAY, ESPANOLA, NM 87532
(505) 753-9421
Mailing address
RR 5 BOX 446, ESPANOLA, NM 87532-8908
(505) 753-9421
(505) 753-5039
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1232
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1232
—
NM
Enumeration date
10/30/2006
Last updated
02/08/2008
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