Organization · Type 2 NPI
Jicarilla Health Care Facility
Community Health Clinic/Center · Dulce, NM
NPI number
1003820069
Active
Practice location
12000 Stone Lake Rd
Dulce, NM 87528
Mailing address
PO Box 1144
Pagosa Springs, CO 81147-1144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
7 other providers at this address
- Jicarilla Apache Health Care FacilityUrgent Care Clinic/Center Dulce, NM NPI 1346326600
- Gaylia Dianne Pride, RNAmbulatory Care Registered Nurse Dulce, NM NPI 1255347043
- John E. Shumack, PHARMACISTPharmacist Dulce, NM NPI 1598985798
- Katherine E. Berry, RDHDental Hygienist Dulce, NM NPI 1194834242
- Kristine S. Williams, RD LDRegistered Dietitian Dulce, NM NPI 1508832791
- Robert Patrick Sewell, DMDGeneral Practice Dentistry Dulce, NM NPI 1922178359
- Susan Frances Donlon, RNCommunity Health Registered Nurse Dulce, NM NPI 1427160282
About NPI 1003820069
Jicarilla Health Care Facility's National Provider Identifier is 1003820069, issued on Jul 27, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Dulce, NM. The record was last updated on Aug 22, 2020.