Provider Demographics
NPI:1750922951
Name:SANTA FE BIRTH CENTER
Entity type:Organization
Organization Name:SANTA FE BIRTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MERIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOEKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-820-2128
Mailing Address - Street 1:1315 S ST. FRANCIS DR.
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4035
Mailing Address - Country:US
Mailing Address - Phone:505-820-2128
Mailing Address - Fax:505-522-8020
Practice Address - Street 1:1315 S ST. FRANCIS DR.
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4035
Practice Address - Country:US
Practice Address - Phone:505-820-2128
Practice Address - Fax:505-522-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing