Organization
LOVELACE HEALTH SYSTEM, INC.
Active
Parent organization
ARDENT HEALTH SERVICES
Other names
Isleta Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT HEALTH SERVICES
Authorized official
MRS. JENNIFER L SANDOVAL (DIRECTOR OF CONTRACTING)
(505) 727-0019
Entity
Organization
Contact information
Practice address
11000 BROADWAY BLVD SE, SUITE 1, ALBUQUERQUE, NM 87105-7469
(505) 244-8116
Mailing address
11000 BROADWAY BLVD SE, SUITE 1, ALBUQUERQUE, NM 87105-7469
(505) 244-8116
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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