PINE HILL HEALTH CENTER; NPI #1073671194

Contact Information

PINE HILL HEALTH CENTER

BIA RT 125
PINEHILL, NM 87357

Phone: 505-775-3271
Fax: 505-775-3633
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PINE HILL HEALTH CENTER

NPI Number 1073671194

LBN Legal business name PINE HILL HEALTH CENTER

Authorized official WILLIAM BECKER - (CLINIC ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/04/2006

Last updated 01/10/2023 - About 3 years ago

Identifiers

NM	Medicaid	55587
NM	Medicaid	69964
	Other	2058706	PK

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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PINE HILL HEALTH CENTER

Contact Information

Specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

NPI Profile & details for PINE HILL HEALTH CENTER

Reviews for PINE HILL HEALTH CENTER