Organization
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL
Active
Other names
Holy Cross Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIC EISENRING (CHIEF FINANCIAL OFFICER)
(575) 758-8883
Entity
Organization
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6284
(575) 758-8883
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6284
(575) 758-8883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NM
207L00000X
Anesthesiology Physician
—
NM
207P00000X
Emergency Medicine Physician
—
NM
207R00000X
Internal Medicine Physician
—
NM
208M00000X
Hospitalist Physician
—
NM
282N00000X
General Acute Care Hospital
Primary
5432
NM
282N00000X
General Acute Care Hospital
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760
—
NM
01
—
2255321
MIEDICARE PTAN
NM
05
—
45716
—
NM
Enumeration date
06/24/2006
Last updated
01/14/2011
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