PUEBLO OF LAGUNA; NPI #1932267259

Contact Information

PUEBLO OF LAGUNA

5 BLUE STAR LOOP
PARAJE, NM 87007

Phone: 505-552-1102
Fax: 505-552-6577
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PUEBLO OF LAGUNA

NPI Number 1932267259

LBN Legal business name PUEBLO OF LAGUNA

Authorized official MILES KING - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2006

Last updated 10/22/2009 - About 17 years ago

Identifiers

NM	License #	54194
AZ	Medicaid	964678
NM	Medicaid	R0225
NM	Other	00NM00RC01	BCBS OF NM
NM	Other	10014280	LOVELACE SALUD
NM	Other	201078520	PRESBYTERIAN HEALTH PLAN

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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PUEBLO OF LAGUNA

Contact Information

Specialty

Land Transport

NPI Profile & details for PUEBLO OF LAGUNA

Reviews for PUEBLO OF LAGUNA