Organization
LOVELACE HEALTH SYSTEM, INC.
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
311 W COUNTRY CLUB RD, SUITE 1, ROSWELL, NM 88201-5839
(575) 623-2836
(575) 623-2841
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
05/29/2019
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