NPIMap

Organization Active NPI

Zia Health Center

  • Health Service Clinic/Center
  • Zia Pueblo, NM
National Provider Identifier
1831250398
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ZIA HEALTH CENTER
Practice address
155B Capital Square Drive
Zia Pueblo, NM 87053
Phone
(505) 867-5258
Fax
(505) 771-9452
NPI assigned
Dec 12, 2006
Organization subpart
Yes
Parent organization
ALBUQUERQUE INDIAN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Ms. Jacqueline E Alexander
Title
Ceo, Acting
Phone
(505) 248-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

155B Capital Square Drive
Zia Pueblo, NM 87053

Mailing address

801 Vassar Drive NE
Albuquerque, NM 87106
Phone (505) 867-5258

Other identifiers 2

IdentifierTypeStateIssuer
94682551MedicaidNM
HSZ163OtherNMGROUP

National Provider Directory

National Provider Directory
Part of
Albuquerque Indian Health Center

Locations

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1831250398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DRIVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-867-5258",
            "fax_number": "505-248-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155B CAPITAL SQUARE DRIVE",
            "city": "ZIA PUEBLO",
            "state": "NM",
            "postal_code": "87053",
            "telephone_number": "505-867-5258",
            "fax_number": "505-771-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBUQUERQUE INDIAN HEALTH CENTER",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO, ACTING",
        "authorized_official_telephone_number": "505-248-4062",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94682551",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "HSZ163",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zia Pueblo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.