Organization · Type 2 NPI

Lovelace Health System LLC

Rehabilitation Practitioner · Santa Fe, NM

NPI number 1023325842 Active

Practice location

1692 Hospital Dr, Suite 202
Santa Fe, NM 87505-4754

Fax (505) 727-9404

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Practitioner Primary	225400000X	APPLIED FOR (NM)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

7 other providers at this address

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NPI record

NPI: 1023325842
Entity type: Organization (Type 2)
Issued: Sep 1, 2010
Last updated: Feb 22, 2022
Status: Active
Subpart: Yes of Ardent Legacy Holdings, LLC

Other names

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Lovelace Outpatient Rehabilitation Santa Fe · doing business as
Lovelace Outpatient Rehabilitation Santa Fe · doing business as

Authorized official

Mr. Stephen C Petrovich
SVP
(615) 296-3000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023325842

Lovelace Health System LLC's National Provider Identifier is 1023325842, issued on Sep 1, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Fe, NM. The record was last updated on Feb 22, 2022.