Indian Health Service

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

INDIAN HEALTH SERVICE

Doing business as

Pueblo of Sandia Health & Social Svcs

Practice address

481 Sandia Loop
Pueblo of Sandia
Bernalillo, NM 87004-7076

Phone

(505) 771-5116

Fax

(505) 771-5107

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Jean Benford-Woskoff

Title

Business Manager

Phone

(505) 771-5116

Specialties & licenses 1

Addresses

Other names 1

• Pueblo of Sandia Health & Social Svcs Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679614598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 RIO LAMA RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446014",
            "telephone_number": "505-994-4478",
            "fax_number": "505-771-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SANDIA LOOP",
            "address_2": "PUEBLO OF SANDIA",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870047076",
            "telephone_number": "505-771-5116",
            "fax_number": "505-771-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENFORD-WOSKOFF",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "505-771-5116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo of Sandia Health & Social Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.