Pueblo Pintado Clinic in Crownpoint - Clinic/center
Pueblo Pintado Clinic - NPI 1023051133
Pueblo Pintado Clinic is a Clinic/center in Crownpoint, New Mexico. Pueblo Pintado Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pueblo Pintado Clinic is 1023051133. The last update date is 2012-10-18.
Pueblo Pintado Clinic's current location address is Po Box 358, Crownpoint, New Mexico. You can contact this provider via phone number 5056556501 and fax number 5056553510. The mailing address for Pueblo Pintado Clinic is Po Box 358, Crownpoint, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pueblo Pintado Clinic |
|---|---|
| Address | Po Box 358, Crownpoint, New Mexico |
| Phone Number | 5056556501 |
| Fax Number | 5056553510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Roanhorse Anslem |
| Telephone Number | 5057865291 |
NPI Number Detail
| NPI Number | 1023051133 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2012-10-18 |
Provider Mailing Address Detail
| Address | Po Box 358 |
|---|---|
| City | Crownpoint |
| State | New Mexico (NM) |
| Post Code | 873130358 |
| Phone Number | 5056556501 |
| Fax Number | 5056553510 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSZ144 | NM | MEDICARE GROUP PTAN | |
| R2915 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pueblo Pintado Clinic by the Centers for Medicare & Medicaid Services?
The Pueblo Pintado Clinic has been issued the NPI (National Provider Identifier) 1023051133 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Pueblo Pintado Clinic's facilities are situated?
The facilities of Pueblo Pintado Clinic are physically located at the following address: Po Box 358, Crownpoint, NM, 873130358.
What is Pueblo Pintado Clinic'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 Pueblo Pintado Clinic is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date did the Pueblo Pintado Clinic receive the assignment of its 1023051133 from the Centers for Medicare & Medicaid Services?
The Pueblo Pintado Clinic was issued its 1023051133 by the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information related to Pueblo Pintado Clinic most recently updated or refreshed?
The details pertaining to the Pueblo Pintado Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-18.
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