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Contact Information

ST VINCENT HOSPITAL
5 PETROGLYPH CIRCLE
SUITE A
POJOAQUE, NM87506
 Phone: 505-983-3361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for ST VINCENT HOSPITAL

NPI Number 1912119298
LBN Legal business name ST VINCENT HOSPITAL
Authorized official J VALDEZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 01/07/2008 - About 18 years ago
Identifiers
NM License # MD2007-0167
NM Medicaid 64680541
Other 10034175 CIGNA/LOVELACE
Other QMP000003399099 MOLINA
Other 2393470 UHC
NM Other NM002Q05 BCBS NM
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.

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