NPI 1548597743

Dhhs/Ihs/Aao/Jsu/Dulce Health Center

Organisation Federal Public Health Clinic/Center Dulce, NM

Practice location

Address: 12000 Stone Lake Road Jicarilla Service Unit, Dulce, NM 87528
Phone: (575) 759-3291
Fax: (575) 759-3532
Mailing address: P O Box 187 12000 Stone Lake Road, Dulce, NM 87528-0187

Authorised official

Name: Charlene Hamilton
Title: Chief Executive Officer
Phone: (575) 759-7200

Registered specialties

Federal Public Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP0904X Licence 18451 (CO)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1548597743
Entity type: Organization
NPI issued: 9 Nov 2009
Record last updated: 9 Nov 2009

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.