| Santa Fe Indian Hospital | |
|
1700 Cerrillos Rd Santa Fe NM 87505-3554 | |
| (505) 988-9821 | |
| (505) 983-6243 |
| Full Name | Santa Fe Indian Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Cerrillos Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Russell Sandoval (ACCOUNTING) |
| Authorized Official Contact | 5059889821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Indian Hospital 1700 Cerrillos Rd Santa Fe NM 87505-3554 Ph: (505) 988-9821 | Santa Fe Indian Hospital 1700 Cerrillos Rd Santa Fe NM 87505-3554 Ph: (505) 988-9821 |
| NPI Number | 1285613836 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 06/20/2025 |
| Medicare PECOS PAC ID | 7719883289 |
|---|---|
| Medicare Enrollment ID | O20031208000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285613836 | NPI | - | NPPES |
| H1232 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Lori C Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740210293 PECOS PAC ID: 4880594472 Enrollment ID: I20040110000200 |
| Provider Name | Eliezer R Pangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720132970 PECOS PAC ID: 9436046455 Enrollment ID: I20040303000506 |
| Provider Name | Hima B Smelser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730165333 PECOS PAC ID: 5799741930 Enrollment ID: I20041208001056 |
| Provider Name | Anita J Holtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679679245 PECOS PAC ID: 6901875525 Enrollment ID: I20050331000973 |
| Provider Name | Katherine Zang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720077563 PECOS PAC ID: 3577531094 Enrollment ID: I20050628001025 |
| Provider Name | Douglas M Zang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043209885 PECOS PAC ID: 3870561228 Enrollment ID: I20050629001165 |
| Provider Name | Lori L Workizer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184786725 PECOS PAC ID: 0345277752 Enrollment ID: I20050718000602 |
| Provider Name | Daniel A Coles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053390120 PECOS PAC ID: 2860417177 Enrollment ID: I20051005001246 |
| Provider Name | John D Walton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326096850 PECOS PAC ID: 3375546054 Enrollment ID: I20060907000113 |
| Provider Name | Diane E Alaimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942389796 PECOS PAC ID: 5698873859 Enrollment ID: I20070612000275 |
| Provider Name | Christopher W Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942362660 PECOS PAC ID: 4688764368 Enrollment ID: I20071218000540 |
| Provider Name | Teresa D Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912040288 PECOS PAC ID: 7315931631 Enrollment ID: I20080103000721 |
| Provider Name | Chad C Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158217 PECOS PAC ID: 0345317640 Enrollment ID: I20080929000639 |
| Provider Name | Bret A Smoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275512899 PECOS PAC ID: 6305742883 Enrollment ID: I20081201000430 |
| Provider Name | Michael C Robles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821109828 PECOS PAC ID: 0547323230 Enrollment ID: I20090106000733 |
| Provider Name | Tamara A Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881779304 PECOS PAC ID: 6305926288 Enrollment ID: I20090805000274 |
| Provider Name | Damon L Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558583963 PECOS PAC ID: 4587715354 Enrollment ID: I20090917000269 |
| Provider Name | Eric S Unzicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144258732 PECOS PAC ID: 4284634189 Enrollment ID: I20091014000770 |
| Provider Name | Anthony G Quay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306869565 PECOS PAC ID: 1355359415 Enrollment ID: I20100301000233 |
| Provider Name | Eva T Presnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447589825 PECOS PAC ID: 0941345987 Enrollment ID: I20100302000850 |
| Provider Name | Diane L Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477654903 PECOS PAC ID: 7517093503 Enrollment ID: I20100329001174 |
| Provider Name | Judith E Pentz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700926334 PECOS PAC ID: 4082696117 Enrollment ID: I20101210000036 |
| Provider Name | Dechen Tsewang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063687622 PECOS PAC ID: 1355511908 Enrollment ID: I20110908002337 |
| Provider Name | David F Hassell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053357608 PECOS PAC ID: 1951453950 Enrollment ID: I20110908002348 |
| Provider Name | Russell Steven Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548407513 PECOS PAC ID: 6103094008 Enrollment ID: I20110909002552 |
| Provider Name | Carmen Rose Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780843268 PECOS PAC ID: 9537332218 Enrollment ID: I20111024000795 |
| Provider Name | Orlando Gio G Villanueva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972726743 PECOS PAC ID: 7618140591 Enrollment ID: I20111110000043 |
| Provider Name | John H Stadick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689651978 PECOS PAC ID: 2264694413 Enrollment ID: I20120503000614 |
| Provider Name | Paula L Johns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639432974 PECOS PAC ID: 4981860764 Enrollment ID: I20120723000838 |
| Provider Name | Russell Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205028321 PECOS PAC ID: 4587758388 Enrollment ID: I20120806000104 |
| Provider Name | Paula Rocha Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922018761 PECOS PAC ID: 6305801440 Enrollment ID: I20130228000411 |
| Provider Name | Curtis Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225359409 PECOS PAC ID: 2961650239 Enrollment ID: I20130905000259 |
| Provider Name | Mary H Roessel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194900340 PECOS PAC ID: 2163662677 Enrollment ID: I20140718001148 |
| Provider Name | Rebecca M Mcsorley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538435508 PECOS PAC ID: 6608093539 Enrollment ID: I20151026000268 |
| Provider Name | Megan A Krispinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346534989 PECOS PAC ID: 8729215033 Enrollment ID: I20151029001209 |
| Provider Name | Myron Jimenez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174076681 PECOS PAC ID: 1658655188 Enrollment ID: I20170301001957 |
| Provider Name | Mitchel Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154982551 PECOS PAC ID: 7911239223 Enrollment ID: I20191105002411 |
| Provider Name | Jennifer M Redd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891113049 PECOS PAC ID: 9133559131 Enrollment ID: I20200415000208 |
| Provider Name | Cindy M Matsushita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467540450 PECOS PAC ID: 2062418783 Enrollment ID: I20201020001453 |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Yucca St, Santa Fe High School, Santa Fe, NM 87505 Phone: 505-467-2439 Fax: 505-467-2989 | |
Schaaf Enterprises Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530a Harkle Rd, Santa Fe, NM 87505 Phone: 512-495-9015 | |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
St. Vincent Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2590 Camino Entrada, Santa Fe, NM 87507 Phone: 505-913-3300 Fax: 505-913-3301 | |
City Different Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2085 S Pacheco St, Santa Fe, NM 87505 Phone: 505-395-3000 | |
Nexus Health Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2085 S Pacheco St, Santa Fe, NM 87505 Phone: 505-395-3000 |