Pueblo Of Jemez

LBN: Pueblo Of Jemez
Pueblo Of Jemez is an health care organization with primary practice located at 4535 Highway 4 , Jemez Pueblo NM 87024-0219. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Pueblo Of Jemez can be contacted via phone (575) 834-7359, or through Rosales, Nohemy via phone (575) 834-3187.

Contact Information

Primary practice address
4535 Highway 4 Jemez Pueblo NM 87024-0219
Phone: (575) 834-7359
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rosales, Nohemy
Phone: (575) 834-3187

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 124046 New Mexico

Profile Details

NPI number 1609913961
LBN Legal business name Pueblo Of Jemez
DBA Doing business as
Authorized official Rosales, Nohemy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Feb 11th, 2022 - about 4 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 1609913961 NPPES
New Mexico MEDICAID R3638

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