Healthcare Provider Details

I. General information

NPI: 1831263391
Provider Name (Legal Business Name): CITY OF SANTA FE PAYROLL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MURALES RD
SANTA FE NM
87501-1173
US

IV. Provider business mailing address

PO BOX 5466
SANTA FE NM
87502-5466
US

V. Phone/Fax

Practice location:
  • Phone: 505-955-3501
  • Fax:
Mailing address:
  • Phone: 505-955-3501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JUSTIN SUBER
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 505-467-9807