Picuris Pueblo

LBN: Picuris Pueblo
Picuris Pueblo is an health care organization with primary practice located at 201 A Pueblo View Road , Penasco NM 87553. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management, Agencies / Community/Behavioral Health, Transportation Services / Land Transport, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Picuris Pueblo can be contacted via phone (575) 587-2519, or through Quanchello, Craig via phone (575) 587-2519.

Contact Information

Primary practice address
201 A Pueblo View Road Penasco NM 87553
Phone: (575) 587-2519
Fax: (505) 579-2660
Website:
Map and Directions
Authorized official contact:
Name: Quanchello, Craig LMSW,LADAC,CADC,CS
Phone: (575) 587-2519

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Transportation Services / Land Transport 3416L0300X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1073181061
LBN Legal business name Picuris Pueblo
DBA Doing business as
Authorized official Quanchello, Craig LMSW,LADAC,CADC,CS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2021
Last updated Jan 30th, 2023 - about 3 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.

Request for update

Popular Providers