Organization
EGIS-ELDERS GETTING INFORMATION AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SMITH PINE MSPH, CMC, MS (EXECUTIVE DIRECTOR)
(505) 995-0485
Entity
Organization
Contact information
Practice address
227 E PALACE AVE, SANTA FE, NM 87501-2043
(505) 995-0485
(505) 986-8581
Mailing address
PO BOX 8132, SANTA FE, NM 87504-8132
(505) 995-0485
(505) 986-8581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3633
—
NM
Enumeration date
03/23/2007
Last updated
08/22/2020
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