Organization
LOVELACE HEALTH SYSTEM, LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Other names
Lovelace Women's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
MR. STEPHEN C. PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109
(505) 727-7805
(505) 727-7888
Mailing address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109
(505) 727-7805
(505) 727-7888
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3139
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32-0017
MEDICARE
NM
05
—
73824062
—
NM
Enumeration date
10/03/2006
Last updated
05/22/2019
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