Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Entrada Contenta Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TASSIN (CEO)
(505) 913-5201
Entity
Organization
Contact information
Practice address
5501 HERRERA DRIVE, SANTA FE, NM 87507-2677
(505) 000-0000
Mailing address
440 SAINT MICHAELS DR, CSV MEDICAL GROUP, SANTA FE, NM 87505-7602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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