PUEBLO OF JEMEZ (NPI# 1609913961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609913961 |
| Entity Type | Organization |
| Organization Name | PUEBLO OF JEMEZ |
| Practice Address |
4535 Highway 4 Jemez Pueblo NM 87024-0219 |
| Practice Telephone | 5758347359 |
| Mailing Telephone | 5758347359 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | NOHEMY ROSALES (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5758343187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
124046 | NM | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | R3638 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1225346547 | Pueblo of Jemez | Clinic/Center | 110 Sheep Springs Way, Jemez Pueblo, NM 87024 | 2010-09-21 |
| 1417082215 | Pueblo of Jemez | Clinic/Center | 110 Sheep Springs Way, Jemez Pueblo, NM 87024 | 2007-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PUEBLO OF JEMEZ HOUSING AUTHORITY | 4773 Highway 4, Jemez Pueblo, NM 87024 |
| Street Address |
4535 HIGHWAY 4 |
| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024-0219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357003 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 129 A Canal Street, Jemez Pueblo, NM 87024 | 2017-03-22 |
| 1245786565 | Alana Chinana | Technician, Other | 174 Good Spirits Rd., Jemez Pueblo, NM 87024 | 2016-08-28 |
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1750615506 | Angela Xaviera Torres | Dentist | 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 | 2009-09-28 |
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1821233644 | Debra Ann Benalli | Counselor | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-08 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1780727735 | Marietta Montoya | Contractor | 129 Canal Street, Jemez Pueblo, NM 87024 | 2007-02-15 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1801934864 | Vonda J Baca | Registered Nurse | 110 Sheepsprings Way St, Jemez Pueblo, NM 87024 | 2007-02-02 |
| Find all providers in zip 87024 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568074 | County of Harding | Ambulance | 1361 Bravo Dome Hwy, Amistad, NM 88411 | 2018-08-16 |
| 1487188785 | Las Cruces Fire Department | Ambulance | 201 E Picacho Ave, Las Cruces, NM 88001-3456 | 2017-04-13 |
| 1891100137 | County of Union | Ambulance | 338 Dodge St, Folsom, NM 88419-0370 | 2014-06-25 |
| 1043641558 | Mescalero Apache Tribe | Ambulance | 25220 Highway 70, Mescalero, NM 88340 | 2013-12-09 |
| 1104267350 | Town of Elida | Ambulance | 405 Clark St, Elida, NM 88116 | 2013-07-16 |
| 1306284682 | City of Moriarty | Ambulance | 201 Broadway Se, Moriarty, NM 87035 | 2013-06-10 |
| 1457606147 | Western States C.c.t. Inc | Ambulance | 424 Harris Rd, Las Vegas, NM 87701-4840 | 2012-07-18 |
| 1508182007 | Village of Des Moines | Ambulance | 77 North Olive St, Des Moines, NM 88418 | 2010-04-09 |
| 1225265242 | Village of Floyd | Ambulance | 1572 New Mexico 267, Floyd, NM 88118-0069 | 2009-06-17 |
| 1679716419 | Pueblo of Acoma | Ambulance | 74 Indian Service, Route 32, Acoma, NM 87034-0000 | 2009-04-09 |
| Find all providers with the same taxonomy | ||||
| City | JEMEZ PUEBLO |
| Zip Code | 87024 |
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| 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.