institution
Acoma-canoncito-laguna Indian Health Center
Health Service Clinic/Center in Acoma, New Mexico
NPI 1225103922

Acoma-canoncito-laguna Indian Health Center is a Health Service Clinic/Center based in San Fidel, NM and is specialized in Health Service. Acoma-canoncito-laguna Indian Health Center practices in Acoma, NM. The NPI Number for Acoma-canoncito-laguna Indian Health Center is 1225103922 and holds a License No. (New Mexico).

The current practice location address for Acoma-canoncito-laguna Indian Health Center is 80 B Veterans Blvd, Acoma, NM and can be reached out via phone at 505-552-5300 and via fax at 505-552-5490.

Location: 80 B Veterans Blvd, Acoma, NM, 87049-0130
institution
Provider Profile Details
NPI Number
1225103922
Provider Name
Acoma-canoncito-laguna Indian Health Center
Credential
Provider Entity Type
Organization
Address
80 B Veterans Blvd, Acoma, NM, 87049-0130
Phone Number
505-552-5300
Fax Number
505-552-5490
Provider Enumeration Date
11/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H3451 05 NM
320070 01 NM RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
80 B Veterans Blvd
City
State
Zip
87034
Phone Number
505-552-5300
Fax Number
505-552-5490
person
Provider Business Mailing Address Details
Address
80 B Veterans Blvd
City
State
Zip
87034
Phone Number
505-552-5300
Fax Number
505-552-5490
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
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Definition
Definition to come...
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