Pueblo Of Isleta in Isleta - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Pueblo Of Isleta - NPI 1407979008
Pueblo Of Isleta is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Isleta, New Mexico. Pueblo Of Isleta practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Pueblo Of Isleta is 1407979008. The last update date is 2017-05-17.
Pueblo Of Isleta's current location address is 01 Sagebrush St, Isleta, New Mexico. You can contact this provider via phone number 5058694863 and fax number 5058694811. The mailing address for Pueblo Of Isleta is 01 Sagebrush St, Isleta, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pueblo Of Isleta |
|---|---|
| Address | 01 Sagebrush St, Isleta, New Mexico |
| Phone Number | 5058694863 |
| Fax Number | 5058694811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Zamora K Volelle |
| Telephone Number | 5058694094 |
NPI Number Detail
| NPI Number | 1407979008 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2017-05-17 |
Provider Mailing Address Detail
| Address | 01 Sagebrush St |
|---|---|
| City | Isleta |
| State | New Mexico (NM) |
| Post Code | 870220000 |
| Phone Number | 5058694863 |
| Fax Number | 5058694811 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 501C |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10146 | NM | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pueblo Of Isleta?
The Pueblo Of Isleta has been issued the NPI (National Provider Identifier) 1407979008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Pueblo Of Isleta is physically located?
The Pueblo Of Isleta is physically situated at the following address: 01 Sagebrush St, Isleta, NM, 870220000.
What is the Pueblo Of Isleta's area of specialization and corresponding taxonomy classification?
The Pueblo Of Isleta's specialty field is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and it falls under the taxonomy code 332800000X, which categorizes healthcare providers based on their specialties.
On what date did the Pueblo Of Isleta receive the assignment of its 1407979008 from the Centers for Medicare & Medicaid Services?
The Pueblo Of Isleta was issued its 1407979008 by the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date were the details pertaining to Pueblo Of Isleta last refreshed?
The information related to the Pueblo Of Isleta, including its address, specialty, and other relevant details, was last updated on 2017-05-17.