National Provider Identifier Database

ACOMA CANONCITO LAGUNA INDIAN HEALTH CENTER
Health Service


Contact Information

ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
80 B VETERANS BLVD
ACOMA, NM87034
Phone: 505-552-5300
Fax: 505-552-5490
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER

NPI Number 1225103922
Legal business name
LBN
ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
Authorized official DELAINE ALLEY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/21/2006
Last updated 03/09/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: H3451
  • NM Other: 320070 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER

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