Jicarilla Service Unit

LBN: Dulce Health Center
Jicarilla Service Unit is an health care organization with primary practice located at 500 North Mundo , Dulce NM 87528-0187. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Public Health, Federal, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Dulce Health Center can be contacted via phone (505) 759-3291, or through Lahi, Sandra via phone (505) 759-7200.

Contact Information

Primary practice address
500 North Mundo Dulce NM 87528-0187
Phone: (505) 759-3291
Fax: (505) 759-3532
Website:
Map and Directions
Authorized official contact:
Name: Lahi, Sandra
Phone: (505) 759-7200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1750388963
LBN Legal business name Dulce Health Center
DBA Doing business as Jicarilla Service Unit
Authorized official Lahi, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 11th, 2011 - about 13 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 1750388963 NPPES
New Mexico MEDICAID 000K3526

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