State of New Mexico
State of New Mexico is a Long Term Care Hospital in Santa Clara, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
41 Fort Bayard RdSanta Clara, NM 88026
Phone: (575) 537-8600
Fax: (575) 537-8869
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Hospital (primary) | Taxonomy 282E00000X · Licence 5011 (NM) |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X |
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 5011 (NM) |
Record details
| NPI number | 1982730669 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Nm Department of Health |
| Authorized official | Sherri Bays — Cfo · (575) 537-8606 |
| Other names | Fort Bayard Medical Center; Fort Bayard Medical Center |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | December 12, 2024 |
| Certification date | December 12, 2024 |
| Mailing address | Po Box 293, Santa Clara, NM 88026-0293 |