Organization Active NPI

Santa Fe Indian Hospital

Doing business as Santa Fe Indian Health Center

  • Federal Public Health Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1285613836
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
SANTA FE INDIAN HOSPITAL
Doing business as
Santa Fe Indian Health Center
Practice address
1700 Cerrillos Rd
Santa Fe, NM 87505-3554
Phone
(505) 988-9821
Fax
(505) 983-6243
NPI assigned
Jan 12, 2006
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Russell Sandoval
Title
Accounting
Phone
(505) 988-9821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X NU Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

1700 Cerrillos Rd
Santa Fe, NM 87505-3554

Mailing address

1700 Cerrillos Rd
Santa Fe, NM 87505-3554
Phone (505) 988-9821

Other identifiers 1

IdentifierTypeStateIssuer
H1232MedicaidNM

Other names 1

  • SANTA FE INDIAN HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000627 TX Part B Supplier - Clinic/Group Practice 7719883289 Receives reassigned benefits from 42 practitioners
Practice locations: Santa Fe, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2275786Santa Fe Indian Health Center1700 Cerrillos Rpad, Santa Fe, NM 87505Provider-performed microscopyJan 26, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1285613836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053554",
            "telephone_number": "505-988-9821",
            "fax_number": "505-983-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053554",
            "telephone_number": "505-988-9821",
            "fax_number": "505-983-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE INDIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "505-988-9821"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA FE INDIAN HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.