Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JICARILLA APACHE NATION
Active OrganizationEnd-Stage Renal Disease Treatment Facility · DULCE, NM
Registration Details
- NPI Number
- 1881020089
- Provider Type
- Organization
- NPI Issued
- Sep 19, 2013 (12.606498230922 yrs)
- Last Updated
- May 20, 2015
Practice Information
- Address
-
450 N MUNDO DR.DULCE, NM, 87528Browse NM providers · Browse ZIP 87528
- Phone
- 5757594206
- Fax
- 5757594471
- Primary Specialty
-
End-Stage Renal Disease Treatment Facility
261QE0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.