NPI 1982730669
State of New Mexico
Practice location
- Address
- 41 Fort Bayard Road, Santa Clara, NM 88026
- Phone
- (575) 537-8600
- Fax
- (575) 537-8869
- Mailing address
- PO Box 293, Santa Clara, NM 88026-0293
Authorised official
- Name
- Sherri Bays
- Title
- Cfo
- Phone
- (575) 537-8606
Registered specialties (3)
Long Term Care Hospital
Primary
Nursing Facility/Intermediate Care Facility
Skilled Nursing Facility
Registry record
- NPI
- 1982730669
- Entity type
- Organization
- NPI issued
- 26 Feb 2007
- Record last updated
- 12 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.