National Provider Identifier Database

CANONCITO BAND OF NAVAJOS HEALTH CENTER INC
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC
129 MEDICINE HORSE ROAD
LAGUNA, NM87026
Phone: 505-908-2307
Fax: 505-908-2310
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

NPI Number 1629525605
Legal business name
LBN
CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC
Authorized official ALEXANDER VARGA - (LCDR/ CHIEF PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 09/07/2016
Last updated 02/21/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 1124119698
  • NM Medicaid: 1205092160
  • NM Medicaid: 1295726073
  • NM Medicaid: 1962591669
  • TX Medicaid: 1619061090
  • Other: 2166309 PK

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 CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

There are currently no reviews for CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC


NPIdb - Home
v2.201