San Felipe Health Clinic Phcy

LBN: Pueblo Of San Felipe
San Felipe Health Clinic Phcy is an health care organization with primary practice located at 3 Cedar St San Felipe Pueblo, San Felipe NM 87001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Pueblo Of San Felipe can be contacted via phone (505) 867-5485, or through Candelaria, Daryl via phone (505) 867-3381.

Contact Information

Primary practice address
3 Cedar St San Felipe Pueblo San Felipe NM 87001
Phone: (505) 867-5485
Fax: (505) 771-9940
Website:
Map and Directions
Authorized official contact:
Name: Candelaria, Daryl PHARMD RPH
Phone: (505) 867-3381

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1467550475
LBN Legal business name Pueblo Of San Felipe
DBA Doing business as San Felipe Health Clinic Phcy
Authorized official Candelaria, Daryl PHARMD RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 11th, 2018 - about 6 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 1467550475 NPPES
New Mexico MEDICAID 81271875
New Mexico Other 2058717

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