Provider Type Icon

EL PUEBLO HEALTH SERVICES INC NPI 1578118998


NPI Information

NPI: 1578118998
Provider Name: EL PUEBLO HEALTH SERVICES, INC
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 32D0058000

Address:
148 SPARTAN ALY
BERNALILLO, NM
ZIP 87004
Phone: (505) 867-2324
Get Directions

EL PUEBLO HEALTH SERVICES, INC is a student health clinic center in Bernalillo, NM. EL PUEBLO HEALTH SERVICES, INC NPI is 1578118998. The provider is registered as an organization entity type.

The provider's business location address is:

148 SPARTAN ALY
BERNALILLO, NM
ZIP 87004-298
Phone: (505) 867-2324

The provider's authorized official is Carolyn Yvette Bueno .
The authorized official title is Office Manager and has the following contact phone number (505) 771-5210.

The CLIA number assigned to this NPI record is 32D0058000 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/2/2019 and was last updated on 8/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.