Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jicarilla Health Care Facility

Organization Community Health Clinic/Center · NPI 1003820069

Jicarilla Health Care Facility is a Community Health Clinic/Center in Dulce, New Mexico. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

12000 Stone Lake Rd
Dulce, NM 87528
Phone: (505) 759-7286
Show map & directions

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

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X (OR)

Record details

NPI number1003820069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pryor — Public Health Nurse · (505) 759-7286
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1144, Pagosa Springs, CO 81147-1144