Jicarilla Apache Nation in Dulce - Community/behavioral Health
Jicarilla Apache Nation - NPI 1508051061
Jicarilla Apache Nation is a Community/behavioral Health in Dulce, New Mexico. Jicarilla Apache Nation practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Jicarilla Apache Nation is 1508051061. The last update date is 2007-09-07.
Jicarilla Apache Nation's current location address is Po Box 546, Dulce, New Mexico. You can contact this provider via phone number 5057593162 and fax number 5057593588. The mailing address for Jicarilla Apache Nation is Po Box 546, Dulce, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jicarilla Apache Nation |
|---|---|
| Address | Po Box 546, Dulce, New Mexico |
| Phone Number | 5057593162 |
| Fax Number | 5057593588 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pesata Levi |
| Telephone Number | 5057593242 |
NPI Number Detail
| NPI Number | 1508051061 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | Po Box 546 |
|---|---|
| City | Dulce |
| State | New Mexico (NM) |
| Post Code | 875280546 |
| Phone Number | 5057593162 |
| Fax Number | 5057593588 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to Jicarilla Apache Nation by the Centers for Medicare & Medicaid Services?
The Jicarilla Apache Nation has been assigned the NPI (National Provider Identifier) 1508051061 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jicarilla Apache Nation is physically located?
The Jicarilla Apache Nation is physically situated at the following address: Po Box 546, Dulce, NM, 875280546.
What is Jicarilla Apache Nation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jicarilla Apache Nation is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
When did the Jicarilla Apache Nation receive its 1508051061?
The Jicarilla Apache Nation was issued its 1508051061 on 2007-09-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jicarilla Apache Nation most recently updated or revised?
The information pertaining to Jicarilla Apache Nation, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-07.