NPIMap

Organization Active NPI

Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
National Provider Identifier
1376632695
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1232 Issued in NM
Legal business name
SANTO DOMINGO HEALTH CLINIC
Practice address
85 West Highway 22
Santo Domingo Pueblo, NM 87052-0340
Phone
(505) 465-3060
Fax
(505) 465-1178
NPI assigned
Oct 12, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA FE INDIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Bret A. Smoker, MDNPI 1275512899
Title
Acting Chief Executive Officer
Phone
(505) 988-9821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1232 NM Primary

Addresses

Primary practice location

85 West Highway 22
Santo Domingo Pueblo, NM 87052-0340

Mailing address

PO Box 340
85 West Highway 22
Santo Domingo Pueblo, NM 87052-0340
Phone (505) 465-3060

Other identifiers 1

IdentifierTypeStateIssuer
H1232MedicaidNM

National Provider Directory

National Provider Directory
Part of
Santa Fe Indian Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1376632695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "85 WEST HIGHWAY 22",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520340",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WEST HIGHWAY 22",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520340",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO DOMINGO HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA FE INDIAN HOSPITAL",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SMOKER",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ACTING CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-988-9821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "H1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santo Domingo Pueblo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.