National Provider Identifier Database

TAOS PICURIS HEALTH CENTER
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

TAOS PICURIS HEALTH CENTER
1090 GOAT SPRINGS RD
TAOS, NM87571
Phone: 575-758-6995
Fax: 505-751-5211
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for TAOS PICURIS HEALTH CENTER

NPI Number 1790802890
Legal business name
LBN
TAOS PICURIS HEALTH CENTER
Authorized official KAILEE FRETLAND - (PRINCIPAL PHARMACY CONSULTANT)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 07/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: B4347
  • Other: 2058715 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 TAOS PICURIS HEALTH CENTER

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