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Contact Information

PUEBLO OF LAGUNA
7 SAN JOSE ROAD
LAGUNA, NM87026-0194
 Phone: 505-552-6652
 Fax: 505-552-0605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Non-emergency Medical Transport (VAN)

343900000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for PUEBLO OF LAGUNA

NPI # 1881011484
LBN Legal business name PUEBLO OF LAGUNA
Authorized official RAMONA DILLARD - (DIRECTOR HEALTH WELLNESS DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2014
Last updated 03/21/2014 - About 12 years ago
Identifiers
NM License # 01221825
NM Medicaid 01221825
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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