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Contact Information

LAGUNA HEALTHCARE CORPORATION
6 BASSWOOD RD
PARAJE, NM87007
 Phone: 505-431-0750
 Fax: 505-431-0749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

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

332800000X 87 All Other Suppliers
 

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for LAGUNA HEALTHCARE CORPORATION

NPI Number 1386246221
LBN Legal business name LAGUNA HEALTHCARE CORPORATION
Authorized official CASSIDY HITCHCOCK - (PHARMACIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/16/2020
Last updated 03/05/2026 - About 3 months ago
Identifiers
NM Medicaid 02239540
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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