Jicarilla Apache Health Care Facility
Organization Active NPI Urgent Care Clinic/Center · Dulce, NM
NPI 1346326600 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346326600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- L10182 (NM)
- Legal business name
- JICARILLA APACHE HEALTH CARE FACILITY
- Practice address
- 12000 Stone Lake Rd
Dulce, NM 87528-0187 - Phone
- (505) 759-7258
- Fax
- (505) 759-7258
- NPI assigned
- Oct 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Barri Rea Herbel, LPN
- Title
- Urgent Care Nurse
- Phone
- (505) 759-7258
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | L10182 | NM | Yes |
Addresses
Primary practice location
12000 Stone Lake Rd
Dulce, NM 87528-0187
Mailing address
12000 Stone Lake Rd.
P.O. Box 127
Dulce, NM 87528-0127
Phone (505) 759-7258
Other providers in Dulce, NM
- Daniel Xethan Haire
- Patrick S Hogan
- Diane P Holzem
- Indian Health Service- Jicarilla Service Unit
- Deanna S Iovine
- Jicarilla Apache Nation
- Jicarilla Apache Nation
- Jicarilla EMS
- Jicarilla Health Care Facility
- Jicarilla IHS Pharmacy
All providers in Dulce, NM · Urgent Care Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.