| Christus St. Vincent Entrada Health Center | |
|
5501 Herrera Dr Santa Fe NM 87507-2684 | |
| (505) 913-3233 | |
| Not Available |
| Full Name | Christus St. Vincent Entrada Health Center |
|---|---|
| Speciality | General Practice |
| Location | 5501 Herrera Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lillian Montoya (CEO/PRESIDENT) |
| Authorized Official Contact | 5059135258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus St. Vincent Entrada Health Center 455 St Michaels Dr Santa Fe NM 87505-7601 Ph: () - | Christus St. Vincent Entrada Health Center 5501 Herrera Dr Santa Fe NM 87507-2684 Ph: (505) 913-3233 |
| NPI Number | 1144627332 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 11/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144627332 | NPI | - | NPPES |
| 15470881 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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