ST VINCENT HOSPITAL (NPI# 1912119298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912119298 |
| Entity Type | Organization |
| Organization Name | ST VINCENT HOSPITAL |
| Practice Address |
5 Petroglyph Circle Suite A Pojoaque NM 87506 |
| Mailing Address |
455 Saint Michaels Dr Medical Staff Office Santa Fe NM 87505-7601 |
| Practice Telephone | 5059833361 |
| Mailing Telephone | 5058205227 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | MR. J ALEX VALDEZ (CEO) |
| Authorized Official Telephone | 5059833361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | MD2007-0167 | NM | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 2393470 | 01 | |
| NM | 64680541 | 05 | |
| CIGNA/LOVELACE | 10034175 | 01 | |
| NM | BCBS NM | NM002Q05 | 01 |
| MOLINA | QMP000003399099 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403528 | St Vincent Hospital | Clinic/Center | 440 Saint Michaels Dr Ste 150, Santa Fe, NM 87505-7637 | 2019-12-09 |
| 1477190882 | St Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr Ste 230, Santa Fe, NM 87505-7670 | 2019-12-04 |
| 1902454499 | St Vincent Hospital | Nurse Anesthetist, Certified Registered | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-08-28 |
| 1770146391 | St Vincent Hospital | Family Medicine | 433 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2019-04-18 |
| 1861968521 | St Vincent Hospital | Family Medicine | 1631 Hospital Dr Ste 100, Santa Fe, NM 87505-7631 | 2018-10-22 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1144689514 | St Vincent Hospital | Pharmacy | 465 Saint Michaels Dr Ste 112, Santa Fe, NM 87505-7621 | 2016-02-15 |
| 1477703775 | St Vincent Hospital | General Acute Care Hospital | 123 Summer St, Dept of Internal Medicine, Worcester, MA 01608-1216 | 2008-09-23 |
| 1598940033 | St Vincent Hospital | Otolaryngology | 1620 Hospital Dr, Santa Fe, NM 87505 | 2008-01-03 |
| 1285829366 | St Vincent Hospital | Obstetrics & Gynecology | 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505 | 2007-09-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST VINCENT HOSPITAL CREDIT UNION | 123 Summer St, Worcester, MA 01608-1216 |
| Street Address |
5 PETROGLYPH CIRCLE SUITE A |
| City | POJOAQUE |
| State | NM |
| Zip Code | 87506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| 1598841769 | Jude Pardee | Psychologist | 217 Camino Del Rincon, Santa Fe, NM 87506 | 2006-10-31 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1558838607 | Albuquerque Er LLC | General Acute Care Hospital | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2018-10-26 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
| 1396124616 | Presbyterian Medical Service | General Acute Care Hospital | 8109 Tangerine Pl Nw, Albuquerque, NM 87120-5587 | 2015-05-19 |
| 1770841728 | Unm Hospital | General Acute Care Hospital | Unm Hospital Pediatric Neurology, 2211 Lomas Blvd., 3rd Floor, Albuquerque, NM 87131-0001 | 2012-04-27 |
| 1598056749 | University of New Mexico School of Medicine | General Acute Care Hospital | 13305 Wilderness Pl Ne, Albuquerque, NM 87111-9221 | 2011-04-22 |
| 1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
| 1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
| 1235376609 | Traci Gae Blair | General Acute Care Hospital | 5232 Saratoga Ct Nw, Albuquerque, NM 87120-2296 | 2009-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.