NPIMap

Organization Active NPI

St. Vincent Hospital

Doing business as CHRISTUS St. Vincent Regional Medical Center

  • Psychiatric Hospital Unit
  • Santa Fe, NM
National Provider Identifier
1154477941
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
6296 Issued in NM
Legal business name
ST. VINCENT HOSPITAL
Doing business as
CHRISTUS St. Vincent Regional Medical Center
Practice address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone
(505) 913-5470
Fax
(505) 913-6489
NPI assigned
Jan 26, 2007
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 6296 NM Primary

Addresses

Primary practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Mailing address

PO Box C12000
Santa Fe, NM 87504-7000
Phone (505) 913-3155

Other names 1

  • CHRISTUS St. Vincent Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000372 NM Part B Supplier - Clinic/Group Practice 6608775135 Receives reassigned benefits from 425 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Santa Fe, NM; Los Alamos, NM; Albuquerque, NM; Espanola, NM; Farmington, NM; Las Vegas, NM
O20071217000794 NM Part A Provider - Hospital 6608775135 1 other NPI on this enrollment
Practice locations: Santa Fe, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154477941. Details of each certification follow.

Hospital certification: CCN 32S002

Legal name
ST VINCENT HOSPITAL
Doing business as
CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 3, 1967 in NM
Enrollment address
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Puckett Individual Corporate DirectorBoard Member Feb 8, 2024
Vernon O Hamilton Individual Corporate DirectorBoard Member Jan 1, 2022
Christus Health Organization, Irving, CO Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 9, 2008
Hope Wade Individual Corporate Officer Apr 24, 2017
Sayuri Yamada Individual Corporate DirectorBoard Member Jul 16, 2020
Sam R Bagchi Individual Corporate DirectorBoard Member Feb 8, 2024
Mark Stanley Puczynski Individual Corporate Director Jan 1, 2019
Kimberly King Webb Individual Corporate DirectorBoard Member Feb 8, 2024
Todd Mason Individual Corporate OfficerCfo Sep 19, 2025
Jerry Jones Individual Corporate DirectorBoard Member Nov 18, 2021
Lillian Montoya Individual Corporate Officer Jun 15, 2018
Corporate Director Jun 15, 2018
W-2 Managing Employee Jun 15, 2018
J Lindsey Bradley Individual Corporate Director Aug 1, 2017
Audrey Webber Individual Corporate DirectorBoard Member Jul 18, 2024
Daya Khalsa Individual Corporate Director Jan 1, 2019
Jaclynn Jodessa Harrison Individual Corporate DirectorBoard Member May 1, 2025

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1154477941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C12000",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875047000",
            "telephone_number": "505-913-3155",
            "fax_number": "505-913-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-5470",
            "fax_number": "505-913-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-01-06",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NM",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Vincent Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.