| NPI | 1427058510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BOURGEOIS President And CEO 505-325-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NM 6291) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 6291) |
| 341600000X Ambulance (Licence: NM 6291) | |
| 3416A0800X Ambulance Air Transport (Licence: NM 6291) | |
| 3416L0300X Ambulance Land Transport (Licence: NM 6291) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2016-11-29 |