National Provider Identifier Database

DHHSIHSAAOJSUDULCE HEALTH CENTER
Public Health, Federal


Contact Information

DHHS/IHS/AAO/JSU/DULCE HEALTH CENTER
12000 STONE LAKE ROAD
JICARILLA SERVICE UNIT
DULCE, NM87528
Phone: 575-759-3291
Fax: 575-759-3532
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for DHHS/IHS/AAO/JSU/DULCE HEALTH CENTER

NPI Number 1548597743
Legal business name
LBN
DHHS/IHS/AAO/JSU/DULCE HEALTH CENTER
Authorized official CHARLENE HAMILTON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2009
Last updated 11/09/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 18451
  • NM Medicaid: 000K3526
  • NM Other: HSZ196 MEDICARE PART B

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 DHHS/IHS/AAO/JSU/DULCE HEALTH CENTER

There are currently no reviews for DHHS/IHS/AAO/JSU/DULCE HEALTH CENTER


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