Organization
VISTA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1016 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(973) 251-1132
(505) 287-5268
Mailing address
815 S PALAFOX ST, 3RD FLR, PENSACOLA, FL 32502-5937
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28477073
—
NM
Enumeration date
08/30/2006
Last updated
12/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us