Organization
SANTO DOMINGO HEALTH CLINIC
Active
Parent organization
SANTA FE INDIAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA FE INDIAN HOSPITAL
Authorized official
DR. BRET A. SMOKER MD (ACTING CHIEF EXECUTIVE OFFICER)
(505) 988-9821
Entity
Organization
Contact information
Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 465-1178
Mailing address
PO BOX 340, 85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 465-1178
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1232
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1232
—
NM
Enumeration date
10/12/2006
Last updated
01/26/2011
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