NPI 1346326600
Jicarilla Apache Health Care Facility
Practice location
- Address
- 12000 Stone Lake Rd, Dulce, NM 87528-0187
- Phone
- (505) 759-7258
- Fax
- (505) 759-7258
- Mailing address
- 12000 Stone Lake Rd. P.O. Box 127, Dulce, NM 87528-0127
Authorised official
- Name
- Barri Rea Herbel
- Title
- Urgent Care Nurse
- Phone
- (505) 759-7258
Registered specialties
Urgent Care Clinic/Center
Primary
Registry record
- NPI
- 1346326600
- Entity type
- Organization
- NPI issued
- 30 Oct 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.