St. Vincent Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. VINCENT HOSPITAL

Doing business as

Camino Entrada After Hours Clinic

Practice address

2590 Camino Entrada
Santa Fe, NM 87507-4876

Phone

(505) 913-3300

Fax

(505) 913-3301

NPI assigned

Mar 3, 2010

Last updated

Mar 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Alex Valdez

Title

Ceo

Phone

(505) 820-5202

Specialties & licenses 2

Addresses

Other names 1

• Camino Entrada After Hours Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1053634170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-3300",
            "fax_number": "505-913-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074876",
            "telephone_number": "505-913-3300",
            "fax_number": "505-913-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-820-5202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camino Entrada After Hours Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Vincent Hospital (CHRISTUS St. Vincent Medical Specialty Clinic)
• St Vincent Hospital (CHRISTUS St. Vincent Metabolic and Joint Health Specialists)
• St Vincent Hospital (Pre Anesthesia surgical Screening (PASS))
• St Vincent Hospital (Christus St. Vincent Anesthesiology Associates)
• Anabella St. Peter
• St. Vincent Hospital (CHRISTUS St. Vincent Entrada Health Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Regional Medical Center)
• St. Vincent Hospital (CHRISTUS St. Vincent Neurology Specialists)
• St. Vincent Hospital (CHRISTUS St Vincent Breast Institute)
• St. Vincent Hospital (St Vincent Hospital Orthopaedic Group)

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.