MEDICARE: UNM HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311Z00000X	Custodial Care Facility	6005	NM
2	315D00000X	Inpatient Hospice	6133	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528193190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNM HOSPITAL

Provider Business Mailing Address
First Line	:	400 TIJERAS AVE NW STE 450
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-3273
Country	:	US
Telephone Number	:	505-272-4275
Fax Number	:	505-272-9991

Provider Business Practice Location Address
First Line	:	2600 YALE BLVD SE STE 2220
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4383
Country	:	US
Telephone Number	:	505-272-6700
Fax Number	:	505-272-6735

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	BONNIE MARIE WHITE
Credential	:
Telephone Number	:	505-272-1840

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	01/08/2020

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Directions to “UNM HOSPITAL ” Practice Location

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