Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY OBRIEN (RN)
(505) 265-1711
Entity
Organization
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
NM
273R00000X
Psychiatric Hospital Unit
—
NM
314000000X
Skilled Nursing Facility
—
NM
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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