LA CLINICA DEL PUEBLO DE RIO ARRIBA (NPI# 1790745974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790745974 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DEL PUEBLO DE RIO ARRIBA |
| Practice Address |
Highway 84 County Road 324 #14 Tierra Amarilla NM 87575 |
| Mailing Address |
Po Box 250 Tierra Amarilla NM 87575-0250 |
| Practice Telephone | 5055887252 |
| Practice Fax Number | 5055887007 |
| Mailing Telephone | 5055887252 |
| Mailing Fax Number | 5055887007 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PHYLLIS J RICHARDS (EMS DIRECTOR) |
| Authorized Official Telephone | 5055887252 |
| Authorized Official Credential | NREMT-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215129291 | La Clinica Del Pueblo De Rio Arriba | Ambulance | #14 County Rd 0324 Highway 84, Tierra Amarilla, NM 87575 | 2007-08-14 |
| 1598797805 | La Clinica Del Pueblo De Rio Arriba | Clinic/Center | Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 | 2006-07-07 |
| Street Address |
HIGHWAY 84 COUNTY ROAD 324 #14 |
| City | TIERRA AMARILLA |
| State | NM |
| Zip Code | 87575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649631862 | Philip Onyirimba | Dentist | Highway 84 County Road 0324 #14, Tierra Amarilla, NM 87575 | 2016-03-16 |
| 1063767085 | Jean Marie Janu | Counselor | Us Hwy 84 County Rd. 324 #14, Tierra Amarilla, NM 87575 | 2012-07-16 |
| 1821399759 | Sharlene Nicole Sandoval | Speech-Language Pathologist | St Rd 531 Bldg 1, Tierra Amarilla, NM 87575 | 2010-11-09 |
| 1346471802 | James Quincey Derrick | Physician Assistant | Cr 0324 Hwy 84 N #14, Tierra Amarilla, NM 87575 | 2009-07-31 |
| 1588800932 | Deborah Jan Wilson | Speech-Language Pathologist | State Rd 531, Chama Valley Schools, Tierra Amarilla, NM 87575 | 2009-01-06 |
| 1942472501 | Margaret Rose Noe | Registered Nurse | Hiwy 84 Cr0324 House#14, Tierra Amarilla, MN 87575 | 2008-03-24 |
| 1215129291 | La Clinica Del Pueblo De Rio Arriba | Ambulance | #14 County Rd 0324 Highway 84, Tierra Amarilla, NM 87575 | 2007-08-14 |
| 1750359873 | Carole L Owens | Nurse Practitioner | Highway 84 County Road 0324 House Number 14, Tierra Amarilla, NM 87575 | 2006-03-14 |
| 1841700127 | Lloyd Merino | Physician Assistant | Highway 84 County Road 0324 #14, Tierra Amarilla, NM 87575 | 2017-10-02 |
| 1063540185 | Chama Valley Independent Schools | Local Education Agency (LEA) | State Road 531, Building 032, Gierra Amarilla, NM 87575 | 2007-03-01 |
| Find all providers in zip 87575 | ||||
| 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 |
|---|---|---|---|---|
| 1215129291 | La Clinica Del Pueblo De Rio Arriba | Ambulance | #14 County Rd 0324 Highway 84, Tierra Amarilla, NM 87575 | 2007-08-14 |
| 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 | TIERRA AMARILLA |
| Zip Code | 87575 |
Please comment or provide details below to improve the information on LA CLINICA DEL PUEBLO DE RIO ARRIBA.
| 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.