LAGUNA HEALTHCARE CORPORATION NPI 1386246221

NPI Information

  • NPI: 1386246221
  • Provider Name: LAGUNA HEALTHCARE CORPORATION
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Doing Business As: LAGUNA COMMUNITY HEALTH CENTER PHARMACY
  • CLIA Number: 32D2252432
  • Address: 6 BASSWOOD RD
    PARAJE, NM
    ZIP 87007
  • Phone: (505) 431-0750

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NPI Details

LAGUNA HEALTHCARE CORPORATION is an indian health service tribal urban indian health i t u pharmacy in Paraje, 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. LAGUNA HEALTHCARE CORPORATION NPI is 1386246221. The provider is registered as an organization entity type.
The provider Is Doing Business As Laguna Community Health Center Pharmacy.

The provider's business location address is:

6 BASSWOOD RD
PARAJE, NM
ZIP 87007
Phone: (505) 431-0750
Fax: (505) 431-0749

The provider's authorized official is Tischa Becker .
The authorized official title is Pharmacy Director and has the following contact phone number (505) 431-0750.

The CLIA number assigned to this NPI record is 32D2252432 - other - tribal(hhs/ihs 638 contr) with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 4/16/2021.

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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes
21835P2201XPharmacistAmbulatory CareNo

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
102239540MEDICAIDNEW 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

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