Organization
LOVELACE WESTSIDE HOSPITAL
Active
Parent organization
ARDENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT
Authorized official
ROBERT GALLEGOS (THERAPY MANAGER)
(505) 727-2123
Entity
Organization
Contact information
Practice address
10511 GOLF COURSE RD NW, SUITE 104, ALBUQUERQUE, NM 87114-5916
(505) 727-2123
Mailing address
10511 GOLF COURSE RD NW, SUITE 104, ALBUQUERQUE, NM 87114-5916
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7004
NM
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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