Organization
HEART HOSPITAL OF NEW MEXICO, LLC
Active
Other names
Heart Hospital of New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J FENTEM (DIRECTOR, BUSINESS OFFICE OPERATION)
(972) 702-7500
Entity
Organization
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 724-2000
(505) 246-9933
Mailing address
PO BOX 50270, LOS ANGELES, CA 90074-0001
(505) 724-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6782
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72264
—
NM
Enumeration date
01/25/2006
Last updated
01/23/2012
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