SANDIA PHS HEALTH CENTER; NPI #1225150535

Contact Information

SANDIA PHS HEALTH CENTER

481 SANDIA LOOP
BERNALILLO, NM 87004-7076

Phone: 505-248-4028
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for SANDIA PHS HEALTH CENTER

NPI Number 1225150535

LBN Legal business name SANDIA PHS HEALTH CENTER

Authorized official PEDRO SOLIS - (PHARMACY DIRECTOR, ACTING)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/06/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

H7890

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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