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Organization

ST. VINCENT HOSPITAL

Active
Parent organization
ST. VINCENT HOSPITAL
Other names
Santa Fe Pulmonary and Critical Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. VINCENT HOSPITAL
Authorized official
J ALEX VALDEZ JD (PRESIDENT AND CEO)
(505) 820-5202
Entity
Organization

Contact information

Practice address
465 SAINT MICHAELS DR, SUITE 211, SANTA FE, NM 87505-7670
(505) 984-2600
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 984-2600
(505) 983-7299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40124525
NM
Enumeration date
08/01/2007
Last updated
02/11/2010
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