institution
Canoncito Band Of Navajos Health Center, Inc
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Canoncito, New Mexico
NPI 1629525605

Canoncito Band Of Navajos Health Center, Inc is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Canoncito, NM. Canoncito Band Of Navajos Health Center, Inc practices in Canoncito, NM. The NPI Number for Canoncito Band Of Navajos Health Center, Inc is 1629525605 and holds a License No. (New Mexico).

The current practice location address for Canoncito Band Of Navajos Health Center, Inc is 129 Medicine Horse Road, Canoncito, NM and can be reached out via phone at 505-908-2307 and via fax at 505-908-2310.

Location: 129 Medicine Horse Road, Canoncito, NM, 87026
institution
Provider Profile Details
NPI Number
1629525605
Provider Name
Canoncito Band Of Navajos Health Center, Inc
Credential
Provider Entity Type
Organization
Address
129 Medicine Horse Road, Canoncito, NM, 87026
Phone Number
505-908-2307
Fax Number
505-908-2310
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205092160 05 NM
2166309 01 PK
1124119698 05 NM
1962591669 05 NM
1295726073 05 NM
1619061090 05 TX
institution
Provider Business Practice Location Address Details
Address
129 Medicine Horse Road
City
State
Zip
87026
Phone Number
505-908-2307
Fax Number
505-908-2310
person
Provider Business Mailing Address Details
Address
129 Medicine Horse Road
City
State
Zip
87026
Phone Number
505-908-2307
Fax Number
505-908-2310
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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