Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Behavioral Health Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TASSIN (PRESIDENT/CEO)
(505) 820-5202
Entity
Organization
Contact information
Practice address
440 SAINT MICHAELS DR, SUITE 250, SANTA FE, NM 87505-7602
(505) 913-3056
(505) 989-6021
Mailing address
440 SAINT MICHAELS DR, SUITE 250, SANTA FE, NM 87505-7602
(505) 913-3056
(505) 989-6021
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
14-00123761
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95895314
—
NM
Enumeration date
01/10/2011
Last updated
02/04/2014
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