MEDICARE: THE PROMPT INSTITUTE

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	235Z00000X	Speech-Language Pathologist	90929	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	:	1740266097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PROMPT INSTITUTE

Provider Business Mailing Address
First Line	:	4001 OFFICE COURT DRIVE
Second Line	:	SUITE 305
City	:	SANTA FE
State	:	NM
Zip	:	87507
Country	:	US
Telephone Number	:	505-466-7701
Fax Number	:	504-466-7714

Provider Business Practice Location Address
First Line	:	4001 OFFICE CT
Second Line	:	SUITE 305
City	:	SANTA FE
State	:	NM
Zip	:	87507-4929
Country	:	US
Telephone Number	:	505-466-7701
Fax Number	:	504-466-7714

Authorized Official
Title or Position	:	ADMINISTRATIVE MANAGER
Name	:	MR. BILL SORTINO
Credential	:
Telephone Number	:	505-466-7710

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	08/22/2020

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Directions to “THE PROMPT INSTITUTE ” Practice Location

Language	Start Address	Practice Location

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