ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER; NPI #1225103922

Contact Information

ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER

80 B VETERANS BLVD
ACOMA, NM 87034

Phone: 505-552-5300
Fax: 505-552-5490
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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

NPI Number 1225103922

LBN Legal business name ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER

Authorized official DELAINE ALLEY - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/21/2006

Last updated 03/09/2022 - About 4 years ago

Identifiers

NM	Medicaid	H3451
NM	Other	320070	RAILROAD MEDICARE

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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ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER

Contact Information

Specialty

Health Service

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

Reviews for ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER