Su Vida

LBN: Su Vida
Su Vida is an health care organization with primary practice located at 1601A Saint Michaels Dr , Santa Fe NM 87505-7614. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Su Vida can be contacted via phone (505) 954-8777, or through Fitzpatrick, Carol J via phone (505) 954-8777.

Contact Information

Primary practice address
1601A Saint Michaels Dr Santa Fe NM 87505-7614
Phone: (505) 954-8777
Fax: (505) 954-8793
Website:
Map and Directions
Authorized official contact:
Name: Fitzpatrick, Carol J PHD
Phone: (505) 954-8777

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1629009899
LBN Legal business name Su Vida
DBA Doing business as
Authorized official Fitzpatrick, Carol J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629009899 NPPES
New Mexico MEDICAID 78558
New Mexico Other NM600536

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