PUEBLO OF JEMEZ NPI 1477676567

NPI Information

NPI: 1477676567
Provider Name: PUEBLO OF JEMEZ

Doing Business As: JEMEZ HEALTH CENTER PHARMACY

Classification: Clinic/Center - 261QP0904X
Entity Type: Organization

Specialization: Public Health, Federal

Address:
110 SHEEPSPRINGS WAY
JEMEZ PUEBLO, NM
ZIP 87024
Phone: (575) 834-0130
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PUEBLO OF JEMEZ is a public health and federal clinic center in Jemez Pueblo, NM. PUEBLO OF JEMEZ NPI is 1477676567. The provider is registered as an organization entity type.
The provider Is Doing Business As Jemez Health Center Pharmacy.

The provider's business location address is:

110 SHEEPSPRINGS WAY
JEMEZ PUEBLO, NM
ZIP 87024
Phone: (575) 834-0130

The provider's authorized official is Nohemy Rosales .
The authorized official title is Business Office Manager and has the following contact phone number (575) 834-3187.

The CLIA number assigned to this NPI record is 32D0893870 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/6/2007 and was last updated on 2/11/2022.

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	261QP0904X	Clinic/Center	Public Health, Federal			Yes

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: 11/14/2023

NPI Synchronization or Removal

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