Provider Demographics
NPI:1316940026
Name:SANTA FE COUNTY
Entity type:Organization
Organization Name:SANTA FE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MULLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-992-3071
Mailing Address - Street 1:35 CAMINO JUSTICIA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8501
Mailing Address - Country:US
Mailing Address - Phone:505-992-3071
Mailing Address - Fax:505-992-3073
Practice Address - Street 1:35 CAMINO JUSTICIA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8501
Practice Address - Country:US
Practice Address - Phone:505-992-3071
Practice Address - Fax:505-992-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM423433416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR2882Medicaid
NM=========OtherCOMMERCIAL INSURANCE PIN
NM=========OtherCOMMERCIAL INSURANCE PIN