CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC; NPI #1629525605

Contact Information

CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

129 MEDICINE HORSE ROAD
LAGUNA, NM 87026

Phone: 505-908-2307
Fax: 505-908-2310
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 CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

NPI # 1629525605

LBN Legal business name CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

Authorized official ALEXANDER VARGA - (LCDR/ CHIEF PHARMACIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/07/2016

Last updated 02/21/2017 - About 9 years ago

Identifiers

NM	Medicaid	1124119698
NM	Medicaid	1205092160
NM	Medicaid	1295726073
NM	Medicaid	1962591669
TX	Medicaid	1619061090
	Other	2166309	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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CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC

Contact Information

Specialty

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

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

Reviews for CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC