NPIMap

Organization Active NPI

Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
National Provider Identifier
1043396377
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1232 Issued in NM
Legal business name
SANTA CLARA HEALTH CENTER
Practice address
State Road 30 Los Alamos Highway
Espanola, NM 87532
Phone
(505) 753-9421
NPI assigned
Oct 30, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Lyon
Title
Chief Executive Officer
Phone
(505) 988-9821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1232 NM Primary

Addresses

Primary practice location

State Road 30 Los Alamos Highway
Espanola, NM 87532

Mailing address

RR 5 Box 446
Espanola, NM 87532-8908
Phone (505) 753-9421

Other identifiers 1

IdentifierTypeStateIssuer
H1232MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1043396377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 446",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328908",
            "telephone_number": "505-753-9421",
            "fax_number": "505-753-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROAD 30 LOS ALAMOS HIGHWAY",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-753-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-988-9821"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "H1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.