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Pueblo Of Jemez
Clinic/Center in Jemez Pueblo, New Mexico
NPI 1417082215

Pueblo Of Jemez is a Clinic/Center based in Jemez Pueblo, NM. Pueblo Of Jemez practices in Jemez Pueblo, NM. The NPI Number for Pueblo Of Jemez is 1417082215 and holds a License No. NA (New Mexico).

The current practice location address for Pueblo Of Jemez is 110 Sheep Springs Way, Jemez Pueblo, NM and can be reached out via phone at 575-834-7413 and via fax at 575-834-7517.

Location: 110 Sheep Springs Way, Jemez Pueblo, NM, 87024-0279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417082215
Provider Name
Pueblo Of Jemez
Credential
Provider Entity Type
Organization
Address
110 Sheep Springs Way, Jemez Pueblo, NM, 87024-0279
Phone Number
575-834-7413
Fax Number
575-834-7517
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3209308 01 NM NCPDP CLINIC PHARMACY
79737 01 NM MEDICAID CLINIC PHARMACY
65337239 05 NM
institution
Provider Business Practice Location Address Details
Address
110 Sheep Springs Way
City
Jemez Pueblo
State
New Mexico
Zip
87024
Phone Number
575-834-7413
Fax Number
575-834-7517
person
Provider Business Mailing Address Details
Address
110 Sheep Springs Way
City
Jemez Pueblo
State
New Mexico
Zip
87024
Phone Number
575-834-7413
Fax Number
575-834-7517
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
NA (New Mexico)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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