Organization Name: | LOVELACE HEALTH SYSTEMS INC. |
NPI Number: | 1023325842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN C PETROVICH (SVP) |
Mailing Address: | 1692 Hospital Dr Suite 202 Santa Fe |
State: | NM US |
Postal Code: | 875054754 |
Phone Number: | 5059826399 |
Fax Number: | 5057279404 |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | APPLIED FOR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |