Organization
VALLEY FIRST CARE
Active
Other names
Santa Fe Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GURULE (BILLING SPECIALIST)
(505) 474-6097
Entity
Organization
Contact information
Practice address
3600 RODEO LN, SUITE A1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 474-4693
Mailing address
528 N CORONADO AVE, ESPANOLA, NM 87532-2790
(505) 747-6939
(505) 747-6816
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46233
—
NM
Enumeration date
02/04/2009
Last updated
02/04/2009
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