Jicarilla Apache Health Care Facility

LBN: Jicarilla Apache Health Care Facility
Jicarilla Apache Health Care Facility is an health care organization with primary practice located at 12000 Stone Lake Rd , Dulce NM 87528-0187. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Jicarilla Apache Health Care Facility can be contacted via phone (505) 759-7258, or through Herbel, Barri Rea via phone (505) 759-7258.

Contact Information

Primary practice address
12000 Stone Lake Rd Dulce NM 87528-0187
Phone: (505) 759-7258
Fax: (505) 759-7258
Website:
Map and Directions
Authorized official contact:
Name: Herbel, Barri Rea Licensed Practical Nurse (LPN)
Phone: (505) 759-7258

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X L10182 New Mexico

Profile Details

NPI number 1346326600
LBN Legal business name Jicarilla Apache Health Care Facility
DBA Doing business as
Authorized official Herbel, Barri Rea Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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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