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Organization

EYE SURGERY CENTERS OF NEW MEXICO, LLC

Active
Other names
Surgery Center of Santa Fe
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANICE E. YOUNG (CFO)
(505) 246-2622
Entity
Organization

Contact information

Practice address
2947 RODEO PARK DR E, SANTA FE, NM 87505-6303
(505) 474-9880
(505) 474-9881
Mailing address
PO BOX 90550, ALBUQUERQUE, NM 87199-0550
(505) 768-1333
(505) 244-9566

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3076
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
490005504
RRB MEDICARE RAILROAD
NM
05
75955717
NM
01
NM00SS85
BCBSNM
NM
Enumeration date
06/11/2006
Last updated
01/10/2014
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