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Contact Information

SANTA FE FOOT AND ANKLE INSTITUTE, LLC
2019 GALISTEO ST
UNIT A4
SANTA FE, NM87505-2143
 Phone: 505-988-3338
 Fax: 505-982-3668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SANTA FE FOOT AND ANKLE INSTITUTE, LLC

NPI # 1093042632
LBN Legal business name SANTA FE FOOT AND ANKLE INSTITUTE, LLC
Authorized official GLENDA KING - (MEMBER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2009
Last updated 06/14/2015 - About 11 years ago
Identifiers
NM Medicaid 85207578
NM Other 9558062 AETNA
NM Other 01331752 AMERIGROUP
NM Other 4781043 CIGNA
NM Other 1730266032 IND NPI
NM Other NM296 NM LICENSE
NM Other DR8662 RR MCARE GROUP PIN
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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