Healthcare Provider Details

I. General information

NPI: 1134165681
Provider Name (Legal Business Name): UNM HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 UNIVERSITY BLVD NE
ALBUQUERQUE NM
87102-1727
US

IV. Provider business mailing address

1209 UNIVERSITY BLVD NE
ALBUQUERQUE NM
87102-1727
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2309
  • Fax: 505-272-8882
Mailing address:
  • Phone: 505-272-2309
  • Fax: 505-272-8882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License NumberPH00001837
License Number StateNM

VIII. Authorized Official

Name: FRIEDA ORTEGA
Title or Position: DIRECTOR OF PHARMACY
Credential: RPH PHARM D
Phone: 505-272-0526