Active NPI
Zuni Indian Hospital
- General Acute Care Hospital
- Zuni, NM
National Provider Identifier
1497843734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- ZUNI INDIAN HOSPITAL
- Practice address
- Route 301 North B Street
Zuni, NM 87327-0000 - Phone
- (505) 782-4431
- Fax
- (505) 782-7327
- NPI assigned
- Oct 11, 2006
- 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
- Mrs. Jean Othole
- Title
- Chief Executive Officer
- Phone
- (505) 782-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
Route 301 North B Street
Zuni, NM 87327-0000
Mailing address
PO Box 467
Zuni, NM 87327-0467
Phone (505) 782-4431
Other names 1
- Zuni Indian Health Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031114000284 | TX | Part B Supplier - Clinic/Group Practice | 5698689644 |
Receives reassigned benefits from 106 practitioners Practice locations: Zuni, NM |
| O20101026001397 | NM | Part A Provider - Indian Health Services Facility | 5698689644 | Practice locations: Zuni, NM |
National Provider Directory
National Provider Directory- Tax ID family
- Zuni Indian Hosp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Zuni, NM
- NPI 1104943950
Practitioners & affiliated clinicians
Practitioners 121
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1497843734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 467",
"city": "ZUNI",
"state": "NM",
"postal_code": "873270467",
"telephone_number": "505-782-4431",
"fax_number": "505-782-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 301 NORTH B STREET",
"city": "ZUNI",
"state": "NM",
"postal_code": "873270000",
"telephone_number": "505-782-4431",
"fax_number": "505-782-7327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZUNI INDIAN HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2010-10-18",
"status": "A",
"authorized_official_last_name": "OTHOLE",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "505-782-7300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Zuni Indian Health Service",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Zuni, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.