Provider Demographics
NPI:1902931652
Name:UNM HOSPITAL
Entity Type:Organization
Organization Name:UNM HOSPITAL
Other - Org Name:UNIVERSITY PSYCHIATRIC CTR-OP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-272-1840
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87103-0369
Mailing Address - Country:US
Mailing Address - Phone:505-272-2521
Mailing Address - Fax:
Practice Address - Street 1:2600 MARBLE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2058
Practice Address - Country:US
Practice Address - Phone:505-272-2861
Practice Address - Fax:505-272-2016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNM HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-22
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6005282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201080119OtherPRESBYTERIAN SALUD
NM00092Medicaid
NM60054OtherAETNA
NM62308OtherCIGNA
NM29966OtherPRESBYTERIAN HEALTH PLAN
NMPROVFP9547OtherCIMARRON SALUD
NM0003OtherCHAMPUS
NM02156901OtherAHCCCS
NM450OtherLOVELACE SALUD
NM62310OtherLOVELACE HEALTH PLAN
NMNM000006OtherBCBS