CANONCITO COMMUNITY CLINIC NPI 1841365558

NPI Information

  • NPI: 1841365558
  • Provider Name: CANONCITO COMMUNITY CLINIC
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Other Name: DHHS USPHS INDIAN HEALTH SERVICES
  • Address: EXIT #131 OFF I 40 6 MILES NORTH
    SAN FIDEL, NM
    ZIP 87049
  • Phone: (505) 552-5385

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NPI Details

CANONCITO COMMUNITY CLINIC is a general acute care hospital in San Fidel, NM. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. CANONCITO COMMUNITY CLINIC NPI is 1841365558. The provider is registered as an organization entity type.
The provider Other Name Is Dhhs Usphs Indian Health Services.

The provider's business location address is:

EXIT #131 OFF I 40 6 MILES NORTH
SAN FIDEL, NM
ZIP 87049-130
Phone: (505) 552-5385
Fax: (505) 552-5828

The provider's authorized official is Barbara Felipe .
The authorized official title is Acl Ihs Ceo and has the following contact phone number (505) 552-5303.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 1/9/2012.

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
1282N00000XGeneral Acute Care HospitalYes

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
1320070OTHERNEW MEXICORAILROAD MEDICARE
2HSZ022OTHERNEW MEXICORAILROAD MEDICARE
3L9815MEDICAIDNEW MEXICO
4PHS000MEDICARE UPINNEW MEXICO
5320070MEDICARE OSCAR/CERTIFICATIONNEW 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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