Acoma Canoncito Laguna Indian
Acoma Canoncito Laguna Indian is an Ambulance in San Fidel, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
Exit 102 Off I-40 1/2 Mi SSan Fidel, NM 87049-0130
Phone: (505) 552-5385
Fax: (505) 552-5490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulance (primary) | Taxonomy 341600000X · Licence 14909596 (NM) |
|---|
Record details
| NPI number | 1649462532 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barbara Felipe — Acl Ihs Ceo · (505) 552-5303 |
| Other names | Dhhs Usphs Indian Health Services |
| NPI enumerated | August 14, 2007 |
| Last updated in NPPES | January 11, 2012 |
| Mailing address | Po Box 130, Acoma Canoncito Laguna Indian Hospital, San Fidel, NM 87049-0130 |