Organization
PHYSICIANS MEDICAL CENTER OF SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE WITTWER (CHIEF FINANCIAL OFFICER)
(505) 428-5400
Entity
Organization
Contact information
Practice address
2990 RODEO PARK DR EAST, SANTA FE, NM 87505-6351
(505) 428-5400
(505) 428-5380
Mailing address
2990 RODEO PARK DR EAST, SANTA FE, NM 87505-6351
(505) 428-5400
(505) 428-5380
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001878
—
NM
01
—
2771340
UNITED HEALTHCARE
NM
01
—
NM000092
BLUE CROSS BLUE SHEILD
NM
Enumeration date
12/21/2006
Last updated
07/29/2010
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