Acoma Canoncito Laguna Indian

LBN: Acoma-Canoncito-Laguna Indian Health Center
Acoma Canoncito Laguna Indian is an health care organization with primary practice located at 80 B Veterans Blvd , Acoma NM 87034. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Acoma-Canoncito-Laguna Indian Health Center can be contacted via phone (505) 552-5300, or through Alley, Delaine via phone (505) 552-5305.

Contact Information

Primary practice address
80 B Veterans Blvd Acoma NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Website:
Map and Directions
Authorized official contact:
Name: Alley, Delaine
Phone: (505) 552-5305

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1225103922
LBN Legal business name Acoma-Canoncito-Laguna Indian Health Center
DBA Doing business as Acoma Canoncito Laguna Indian
Authorized official Alley, Delaine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225103922 NPPES
New Mexico MEDICAID H3451
New Mexico Other 320070

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