Organization
SANTA MARIA EL MIRADOR
Active
Other names
Fraternal Order of Knights Templar (FOKT)
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ROMERO (CEO)
(505) 424-7700
Entity
Organization
Contact information
Practice address
10 A VAN NU PO, SANTA FE, NM 87508
(505) 424-7700
(505) 395-7452
Mailing address
10 A VAN NU PO, SANTA FE, NM 87508
(505) 424-7700
(505) 395-7452
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75302373
—
NM
05
—
M1609
—
NM
Enumeration date
02/28/2007
Last updated
07/22/2023
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