Organization
CITY OF SANTA FE PAYROLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUSTIN SUBER (CHIEF MEDICAL OFFICER)
(505) 467-9807
Entity
Organization
Contact information
Practice address
200 MURALES RD, SANTA FE, NM 87501-1173
(505) 955-3501
Mailing address
PO BOX 5466, SANTA FE, NM 87502-5466
(505) 955-3501
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R2205
—
NM
Enumeration date
11/17/2006
Last updated
04/01/2025
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