Organization
LOVELACE HEALTH SYSTEM, LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE, SUITE 102, ALBUQUERQUE, NM 87102-3661
(505) 727-4050
(505) 727-4055
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
05/29/2019
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