LA CLINICA DEL PUEBLO DE RIO ARRIAB (NPI# 1861630410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861630410 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DEL PUEBLO DE RIO ARRIAB |
| Other Organization Name | ESCALANTE SCHOOL BASE HEALTH CENTER |
| Practice Address |
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 |
| Practice Telephone | 5755887252 |
| Practice Fax Number | 5755889132 |
| Mailing Telephone | 5755887252 |
| Mailing Fax Number | 5755889132 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | DARREN D DE YAPP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5755887252 |
| Is Organization Subpart | Y |
| Parent Organization Name | LA CLINICA DEL PUEBLO DE RIO ARRIBA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6253 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | SANCHEZ, JOYCE M., LISW, LADAC | 1336177575 | 01 |
| NM | KNACKSTEDT, SHIRLEY, CFNP | 1114908761 | 01 |
| Other Name | Type Code |
|---|---|
| Escalante School Base Health Center | Other Name - Individual/Organization |
| Street Address |
U S HWY 84, COUNTY ROAD 0324, #14 |
| City | TIERRA AMARILLA |
| State | NM |
| Zip Code | 87575-0250 |
| 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 |
| 1790745974 | La Clinica Del Pueblo De Rio Arriba | Ambulance | Highway 84 County Road 324 #14, Tierra Amarilla, NM 87575 | 2006-03-23 |
| 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 |
| Find all providers in zip 87575 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
| Find all providers with the same taxonomy | ||||
| City | TIERRA AMARILLA |
| Zip Code | 87575 |
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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.