NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC
401 BOTULPH LANE
SANTA FE, NM87505
 Phone: 505-983-8387
 Fax: 505-820-2733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC

NPI # 1255400040
LBN Legal business name SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC
Authorized official BRUCE GOLLUB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 07/13/2017 - About 9 years ago
Identifiers
NM Medicaid 49064
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SANTA FE FAMILY AND FUNCTIONAL MEDICINE PC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
RITA J DODGE, MD
2019 GALISTEO ST
SANTA FE, NM
NEW MEXICO TREATMENT SERVICES LLC
1264 RODEO RD
SANTA FE, NM
JOHN D BECKER
7 AVENIDA VISTA GRANDE STE D-6
SANTA FE, NM
LAWRENCE LYONS, MD
06B MAIN STREET
LOS CERRILLOS, NM
JOHN M FAY, MD
3917 WEST ROAD
LOS ALAMOS, NM
VIDYA SUBRAMANIAN, MD
1010 SPRUCE ST
ESPAÑOLA, NM
TANYA P REYES, MD
EL CENTRO FAMILY HEALTH
ESPAÑOLA, NM
RACHEL D RANKIN, MD
121 CALLE DEL PRESIDENTE
BERNALILLO, NM
SAVERIO J SAVA, MD
7 MUNICIPAL WAY
EDGEWOOD, NM
MONICA BRIONES, MD
7 MUNICIPAL WAY
EDGEWOOD, NM

  View all Doctors & Physicians
v2.403