Five Sandoval Indian Pueblos, Inc.

LBN: Five Sandoval Indian Pueblos, Inc.
Five Sandoval Indian Pueblos, Inc. is an health care organization with primary practice located at 1043 Hwy 313 , Bernalillo NM 87004. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Five Sandoval Indian Pueblos, Inc. can be contacted via phone (505) 867-3351, or through Pino, Toni via phone (505) 867-3351.

Contact Information

Primary practice address
1043 Hwy 313 Bernalillo NM 87004
Phone: (505) 867-3351
Fax: (505) 867-3514
Website:
Map and Directions
Authorized official contact:
Name: Pino, Toni
Phone: (505) 867-3351

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 01728213006 New Mexico
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1689896284
LBN Legal business name Five Sandoval Indian Pueblos, Inc.
DBA Doing business as
Authorized official Pino, Toni
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689896284 NPPES
New Mexico MEDICAID 96386002

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