Pueblo Pintado Health Center

LBN: Pueblo Pintado Health Center
Pueblo Pintado Health Center is an health care organization with primary practice located at Hwy 371 Route 9 , Crownpoint NM 87313-0358. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Pueblo Pintado Health Center can be contacted via phone (505) 786-6344, or through Williams, Stacy via phone (505) 786-6344.

Contact Information

Primary practice address
Hwy 371 Route 9 Crownpoint NM 87313-0358
Phone: (505) 786-6344
Fax: (505) 786-6440
Website:
Map and Directions
Authorized official contact:
Name: Williams, Stacy
Phone: (505) 786-6344

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X AU4720846 New Mexico

Profile Details

NPI number 1831212281
LBN Legal business name Pueblo Pintado Health Center
DBA Doing business as
Authorized official Williams, Stacy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1831212281 NPPES
Arizona MEDICAID 021189
Arizona MEDICAID 47209

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