Jicarilla Apache Nation Dialysis Treatment Center

LBN: Jicarilla Apache Nation
Jicarilla Apache Nation Dialysis Treatment Center is an health care organization with primary practice located at 450 N Mundo Dr. , Dulce NM 87528. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Jicarilla Apache Nation can be contacted via phone (575) 759-4206, or through Vicenti, Ty via phone (575) 759-4201.

Contact Information

Primary practice address
450 N Mundo Dr. Dulce NM 87528
Phone: (575) 759-4206
Fax: (575) 759-4471
Website:
Map and Directions
Authorized official contact:
Name: Vicenti, Ty
Phone: (575) 759-4201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1881020089
LBN Legal business name Jicarilla Apache Nation
DBA Doing business as Jicarilla Apache Nation Dialysis Treatment Center
Authorized official Vicenti, Ty
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2013
Last updated May 20th, 2015 - about 10 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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