Active NPI
Sandia Health Center
- Health Service Clinic/Center
- Bernalillo, NM
National Provider Identifier
1063573509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SANDIA HEALTH CENTER
- Practice address
- 481 Sandia Loop
Bernalillo, NM 87004-7076 - Phone
- (505) 867-4487
- Fax
- (505) 771-5126
- NPI assigned
- Dec 12, 2006
- Last updated
- Apr 22, 2008
- Organization subpart
- Yes
- Parent organization
- ALBUQUERQUE INDIAN HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Rickert
- Title
- Ceo
- Phone
- (505) 248-4062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
481 Sandia Loop
Bernalillo, NM 87004-7076
Mailing address
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-7711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSZ164 | Other | NM | GROUP |
| H7890 | Medicaid | NM |
National Provider Directory
National Provider Directory- Part of
- Albuquerque Indian Health Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Albuquerque, NM
- NPI 1659458917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1063573509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 VASSAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062725",
"telephone_number": "505-248-7711",
"fax_number": "505-248-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 SANDIA LOOP",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870047076",
"telephone_number": "505-867-4487",
"fax_number": "505-771-5126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDIA HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALBUQUERQUE INDIAN HEALTH CENTER",
"enumeration_date": "2006-12-12",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "RICKERT",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-248-4062"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "HSZ164",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H7890",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.