INDIAN HEALTH SERVICE; NPI #1851377667

Contact Information

INDIAN HEALTH SERVICE

801 VASSAR DR NE
ALBUQUERQUE, NM 87106-2725

Phone: 505-248-4065
Fax: 505-248-4088
Website:

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

Indicates primary specialty

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NPI Profile & details for INDIAN HEALTH SERVICE

NPI Number 1851377667

LBN Legal business name INDIAN HEALTH SERVICE

Authorized official ROSE ROWAN - (NURSE PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/22/2005

Last updated 05/26/2011 - About 15 years ago

Identifiers

NM	License #	R29941
NM	Medicaid	000S5578

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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