Canoncito Band Of Navajos Health Center, Inc

LBN: Canoncito Band Of Navajos Health Center, Inc
Canoncito Band Of Navajos Health Center, Inc is an health care organization with primary practice located at 129 Medicine Horse Road , Canoncito NM 87026. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Canoncito Band Of Navajos Health Center, Inc can be contacted via phone (505) 908-2307, or through Varga, Alexander via phone (505) 908-2307.

Contact Information

Primary practice address
129 Medicine Horse Road Canoncito NM 87026
Phone: (505) 908-2307
Fax: (505) 908-2310
Website:
Map and Directions
Authorized official contact:
Name: Varga, Alexander
Phone: (505) 908-2307

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1629525605
LBN Legal business name Canoncito Band Of Navajos Health Center, Inc
DBA Doing business as Canoncito Band Of Navajos Health Center, Inc
Authorized official Varga, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2016
Last updated Feb 21st, 2017 - about 7 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 1629525605 NPPES
New Mexico MEDICAID 1205092160
New Mexico Other 2166309
New Mexico MEDICAID 1124119698
New Mexico MEDICAID 1962591669
New Mexico MEDICAID 1295726073
New Mexico MEDICAID 1619061090

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