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Jicarilla Health Care Facility
Community Health Clinic/Center in Dulce, New Mexico
NPI 1003820069

Jicarilla Health Care Facility is a Community Health Clinic/Center based in Pagosa Springs, NM and is specialized in Community Health. Jicarilla Health Care Facility practices in Dulce, NM. The NPI Number for Jicarilla Health Care Facility is 1003820069 and holds a License No. (New Mexico).

The current practice location address for Jicarilla Health Care Facility is 12000 Stone Lake Rd, Dulce, NM and can be reached out via phone at 505-759-7286.

Location: 12000 Stone Lake Rd, Dulce, NM, 81147-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003820069
Provider Name
Jicarilla Health Care Facility
Credential
Provider Entity Type
Organization
Address
12000 Stone Lake Rd, Dulce, NM, 81147-1144
Phone Number
505-759-7286
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12000 Stone Lake Rd
City
Dulce
State
New Mexico
Zip
87528
Phone Number
505-759-7286
Fax Number
person
Provider Business Mailing Address Details
Address
12000 Stone Lake Rd
City
Dulce
State
New Mexico
Zip
87528
Phone Number
505-759-7286
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
(Oregon)
Definition
Definition to come...
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