PUEBLO OF SAN FELIPE


Address: 3 Cedar Rd., San Felipe, NM 87001
Phone: 5058679616

PUEBLO OF SAN FELIPE (NPI# 1265511299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265511299
Entity Type Organization
Organization Name PUEBLO OF SAN FELIPE
Other Organization Name SAN FELIPE PUEBLO HEALTH & WELLNESS DEPARTMENT
Practice Address 3 Cedar Rd.
San Felipe
NM 87001
Mailing Address Po Box 4339
San Felipe
NM 87001
Practice Telephone 5058679616
Practice Fax Number 5057719992
Mailing Telephone 5058679616
Mailing Fax Number 5057719992
Enumeration Date 2006-11-02
Last Update Date 2009-07-15
Authorized Official Name MR. BRUCE D. GARCIA (PUEBLO OF SAN FELIPE TRIBAL ADMIN)
Authorized Official Telephone 5058673381
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM 99624371 05
NM PHARMACY 81271875 01
NM 81271875 05

Other Provider/Organization Names

Other Name Type Code
San Felipe Pueblo health & Wellness Department Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467550475 Pueblo of San Felipe Pharmacy 3 Cedar St, San Felipe Pueblo, San Felipe, NM 87001 2006-09-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PUEBLO OF SAN FELIPE 127 Hagon Rd, San Felipe Pb, NM 87001-8087

Office Location

Street Address 3 CEDAR RD.
City SAN FELIPE
State NM
Zip Code 87001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740751841 Edward Gary Gum Registered Nurse #3 Cedar Road, San Felipe Pueblo, NM 87001 2018-12-16
1194229278 Michael Townsend Peer Specialist 3 Cedar Rd, Algodones, NM 87001 2018-03-22
1750837332 Kaitlyn Therese Archibeque Specialist/Technologist 1370a Hwy 313, Algodones, NM 87001 2016-09-01
1992154850 Tonya Louis Social Worker 25 Cougar Road, San Felipe, NM 87001 2016-06-10
1821391806 Gail Aguilar Counselor 18 Cougar Road, San Felipe Behavioral Health Program, San Felipe, NM 87001 2010-12-13
1740341304 David M Hanson Dentist #4 Cedar Street, San Felipe, NM 87001 2006-12-13
1831274851 San Felipe Health Clinic General Acute Care Hospital Cedar Street, San Felipe, NM 87001 2006-10-26
1164439261 Marvin Jordan Godner Pediatrics 711 Pueblo Main Street, San Felipe Pueblo, NM 87001 2006-08-02
1366425712 Julie Anna King Pharmacist San Felipe Health Clinic Pharmacy, Cedar Street #4 San Felipe Pueblo, San Felipe, NM 87001 2005-11-21
1790247583 Timothy Earle Moeslein Registered Nurse #3 Cedar Road, San Felipe Pueblo, NM 87001 2019-04-02
Find all providers in zip 87001

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1417572710 Vasco Healthcare Inc Clinic/Center 717 Encino Pl Ne Ste 8, Albuquerque, NM 87102-2624 2020-06-11
1578100251 Med-ease Medical Associates LLC Clinic/Center 6300 Montano Rd Nw Ste G1, Albuquerque, NM 87120-1826 2019-12-02
1700345436 Lancer Health Group, LLC Clinic/Center 1400 S 2nd St, Raton, NM 87740-2102 2019-03-12
1265998314 Stillwater Therapeutic Bodywork Clinic/Center 460 Saint Michaels Dr Ste 1205, Santa Fe, NM 87505-8605 2019-02-13
1891281259 Pain and Addiction Services, LLC Clinic/Center 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 2018-07-09
1477076008 Florecer Therapies Inc Clinic/Center 1320 Arenal Rd Sw, Albuquerque, NM 87105-4030 2017-07-25
1750767810 Southwest Care Center Jefferson Albuquerque Clinic/Center 4710 Jefferson Ne, Suite A, Albuquerque, NM 87109 2015-07-30
1366782526 Premise Health of New Mexico Medical P C Clinic/Center 6401 Jefferson St Ne, Albuquerque, NM 87109-4376 2013-02-26
1063788701 Integrated Wellness Clinic/Center 10209 Nacimiento St Nw, Albuquerque, NM 87114-4457 2012-03-27
1336442854 San Cristobal Treatment Center Clinic/Center 176 Camino Del Medio, San Cristobal, NM 87564 2010-12-07
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Competitor

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City SAN FELIPE
Zip Code 87001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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