NPIMap

Organization Active NPI

La Clinica del Pueblo de Rio Arriab

  • Clinic/Center
  • Tierra Amarilla, NM
National Provider Identifier
1861630410
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6253 Issued in NM
Legal business name
LA CLINICA DEL PUEBLO DE RIO ARRIAB
Practice address
U S Hwy 84, County Road 0324, #14
Tierra Amarilla, NM 87575-0250
Phone
(575) 588-7252
Fax
(575) 588-9132
NPI assigned
Feb 4, 2009
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LA CLINICA DEL PUEBLO DE RIO ARRIBAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Stephanie Gordon
Title
Emr/Credentialing
Phone
(575) 419-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6253 NM Primary

Addresses

Primary practice location

U S Hwy 84, County Road 0324, #14
Tierra Amarilla, NM 87575-0250

Mailing address

PO Box 250
US Hwy 84, County Rd. 0324, #14
Tierra Amarilla, NM 87575-0250
Phone (575) 588-7252

Other names 1

  • Escalante School Base Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
La Clinica del Pueblo de Rio Arriba3 organizations share this tax ID, including this one
Part of
La Clinica del Pueblo de Rio Arriba

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1861630410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "US HWY 84, COUNTY RD. 0324, #14",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750250",
            "telephone_number": "575-588-7252",
            "fax_number": "575-588-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U S HWY 84, COUNTY ROAD 0324, #14",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750250",
            "telephone_number": "575-588-7252",
            "fax_number": "575-588-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DEL PUEBLO DE RIO ARRIAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA DEL PUEBLO DE RIO ARRIBA",
        "enumeration_date": "2009-02-04",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EMR/CREDENTIALING",
        "authorized_official_telephone_number": "575-419-2439"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escalante School Base Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tierra Amarilla, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.