NPIMap

Organization Active NPI

Pueblo of Isleta

Doing business as Pueblo of Isleta Urgent Care

  • Urgent Care Clinic/Center
  • Isleta, NM
National Provider Identifier
1326590191
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PUEBLO OF ISLETA
Doing business as
Pueblo of Isleta Urgent Care
Practice address
01 Sagebrush
Isleta, NM 87022
Phone
(505) 869-3200
Fax
(505) 869-4881
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PUEBLO OF ISLETAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Volelle Zamora, CEO
Title
Chief Executive Officer
Phone
(505) 869-4094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

01 Sagebrush
Isleta, NM 87022

Mailing address

PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-3200

Other names 1

  • Pueblo of Isleta Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Isleta9 organizations share this tax ID, including this one
Part of
Pueblo of Isleta

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1326590191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220640",
            "telephone_number": "505-869-3200",
            "fax_number": "505-869-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "01 SAGEBRUSH",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-3200",
            "fax_number": "505-869-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO OF ISLETA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUEBLO OF ISLETA",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "VOLELLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-869-4094",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo of Isleta Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isleta, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.