Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Entrada Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (CEO/PRESIDENT)
(505) 913-5258
Entity
Organization
Contact information
Practice address
5501 HERRERA DR, SANTA FE, NM 87507-2684
(505) 913-3233
Mailing address
455 ST MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15470881
—
NM
Enumeration date
12/03/2014
Last updated
11/02/2018
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