PINE HILL HEALTH CENTER NPI 1073671194

NPI Information

NPI: 1073671194
Provider Name: PINE HILL HEALTH CENTER
Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Doing Business As: PINE HILL HEALTH CENTER
CLIA Number: 32D1106379
Address: BIA RT 125
PINE HILL, NM
ZIP 87357
Phone: (505) 775-3271

Map and Directions

Get Directions

NPI Details

PINE HILL HEALTH CENTER is an indian health service tribal urban indian health i t u pharmacy in Pine Hill, NM. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. PINE HILL HEALTH CENTER NPI is 1073671194. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Hill Health Center.

The provider's business location address is:

BIA RT 125
PINE HILL, NM
ZIP 87357
Phone: (505) 775-3271
Fax: (505) 775-3633

The provider's authorized official is William Becker .
The authorized official title is Clinic Administrator and has the following contact phone number (505) 775-3271.

The CLIA number assigned to this NPI record is 32D1106379 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 1/10/2023.

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
1	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55587	MEDICAID	NEW MEXICO
2	2058706	OTHER		PK
3	69964	MEDICAID	NEW MEXICO

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI