| St. Vincent Hospital | |
|
455 Saint Michaels Dr Santa Fe NM 87505-7601 | |
| (505) 913-5470 | |
| (505) 913-6489 |
| Full Name | St. Vincent Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Joseph Alex Valdez (CEO) |
| Authorized Official Contact | 5058205202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital Po Box C12000 Santa Fe NM 87504-7000 Ph: (505) 913-3155 | St. Vincent Hospital 455 Saint Michaels Dr Santa Fe NM 87505-7601 Ph: (505) 913-5470 |
| NPI Number | 1154477941 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 6608775135 |
|---|---|
| Medicare Enrollment ID | O20071217000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154477941 | NPI | - | NPPES |
| 00612 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 6296 (New Mexico) | Primary |
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