Laguna Healthcare Corporation
Family Medicine in Paraje, NM. Organization (NPI-2).
NPI number1962001024
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1962001024
- Entity type
- Organization (NPI-2)
- Legal business name
- Laguna Healthcare Corporation
- Organization subpart
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | – | – |
Other names
- Laguna Community Health Center (Doing Business As)
Practice location
6 Basswood RdParaje, NM 87007
Phone 505-552-5664
Mailing address
Po Box 1407Laguna, NM 87026-1407
Phone 505-552-5664
Authorized official
Carrie L Sarnicky
Ceo
5055525664
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