NPIMap

Organization Active NPI

State of New Mexico

Doing business as DOH/PHD/Immunization Program

  • Public Health or Welfare Agency
  • Santa Fe, NM
National Provider Identifier
1972784544
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF NEW MEXICO
Doing business as
DOH/PHD/Immunization Program
Practice address
605 Letrado
Santa Fe, NM 87505
Phone
(505) 476-2600
Fax
(505) 476-2692
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Sandra E. Martinez
Title
Deputy Director, Finance and Admini
Phone
(505) 827-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

605 Letrado
Santa Fe, NM 87505

Mailing address

PO Box 26110
1190 St. Francis Drive
Santa Fe, NM 87502-6110
Phone (505) 827-2389

Other names 1

  • DOH/PHD/Immunization Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scientific Laboratory Division Nmdoh43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1972784544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26110",
            "address_2": "1190 ST. FRANCIS DRIVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026110",
            "telephone_number": "505-827-2389",
            "fax_number": "505-827-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LETRADO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-476-2600",
            "fax_number": "505-476-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR, FINANCE AND ADMINI",
        "authorized_official_telephone_number": "505-827-2389"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOH/PHD/Immunization Program",
            "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 Jan 6, 2016; 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.