Jicarilla Apache Nation

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1881020089

Jicarilla Apache Nation is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dulce, New Mexico. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2013.

CMS rating: 2 of 5
In the registry since: 2013

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CMS quality rating

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 322545)

Practice location Address checks out

450 N Mundo Dr
Dulce, NM 87528
Phone: (575) 759-4206
Fax: (575) 759-4471

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1881020089
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Ty Vicenti — President · (575) 759-4201
Other names	Jicarilla Apache Nation Dialysis Treatment Center
NPI enumerated	September 19, 2013
Last updated in NPPES	May 20, 2015
Mailing address	450 N Mundo Dr., Dulce, NM 87528