Active NPI
Laguna Healthcare Corporation
- Family Medicine Physician
- Casa Blanca, NM
National Provider Identifier
1326502147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LAGUNA HEALTHCARE CORPORATION
- Practice address
- 282 Casa Blanca Rd
Casa Blanca, NM 87007 - Phone
- (505) 552-0163
- Fax
- (505) 552-0344
- NPI assigned
- Jan 25, 2019
- Last updated
- Jan 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Sarnicky
- Title
- Ceo
- Phone
- (505) 552-5664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
282 Casa Blanca Rd
Casa Blanca, NM 87007
Mailing address
PO Box 1407
Laguna, NM 87026-1407
Phone (505) 552-5664
Other practice location 1
51 Rodeo Drive
Laguna, NM 87026
Phone (505) 552-5664
National Provider Directory
National Provider Directory- Tax ID family
- Laguna Healthcare Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Laguna Dental Clinic
- General Practice Dentistry
- Paraje, NM
- NPI 1275477028
-
dba Laguna Community Health Center Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Paraje, NM
- NPI 1386246221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1326502147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1407",
"city": "LAGUNA",
"state": "NM",
"postal_code": "870261407",
"telephone_number": "505-552-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 CASA BLANCA RD",
"city": "CASA BLANCA",
"state": "NM",
"postal_code": "87007",
"telephone_number": "505-552-0163",
"fax_number": "505-552-0344"
}
],
"practiceLocations": [
{
"address_1": "51 Rodeo Drive",
"address_purpose": "LOCATION",
"city": "Laguna",
"state": "NM",
"postal_code": "87026",
"country_code": "US",
"telephone_number": "505-552-5664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAGUNA HEALTHCARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A",
"authorized_official_last_name": "SARNICKY",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-552-5664"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Blanca, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.