Healthcare Provider Details

I. General information

NPI: 1750922951
Provider Name (Legal Business Name): SANTA FE BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S ST. FRANCIS DR.
SANTA FE NM
87505-4035
US

IV. Provider business mailing address

1315 S ST. FRANCIS DR.
SANTA FE NM
87505-4035
US

V. Phone/Fax

Practice location:
  • Phone: 505-820-2128
  • Fax: 505-522-8020
Mailing address:
  • Phone: 505-820-2128
  • Fax: 505-522-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MERIA L LOEKS
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 505-820-2128