Santa Ana Pueblo

LBN: Santa Ana Pueblo
Santa Ana Pueblo is an health care organization with primary practice located at 02 Dove Rd , Santa Ana Pueblo NM 87004-5906. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Day Care. Agencies / Community/Behavioral Health is the primary health care specialty. Santa Ana Pueblo can be contacted via phone (505) 771-6759, or through Campbell, Troy via phone (505) 967-9791.

Contact Information

Primary practice address
02 Dove Rd Santa Ana Pueblo NM 87004-5906
Phone: (505) 771-6759
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Troy Licensed Clinical Social Worker (LCSW)
Phone: (505) 967-9791

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1740994854
LBN Legal business name Santa Ana Pueblo
DBA Doing business as
Authorized official Campbell, Troy Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2023
Last updated Jan 24th, 2024 - about 2 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 1740994854 NPPES
Other 293781631 EMP #

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