Pueblo Pintado Clinic

NPI #1023051133 in Cuba, New Mexico

Provider Information

NPI Number
1023051133
Entity Type
Organization
Organization Name
Pueblo Pintado Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
DHHS PHS NAIHS CROWNPOINT HOSPITAL
Primary Specialty
Clinic/Center
Enumeration Date
Jun 14, 2006
Last Updated
Oct 18, 2012

Practice Location

Address
#10 PUEBLO PINTADO SCHOOL
City
Cuba
ZIP Code
87013
Phone
(505) 655-3501

Authorized Official

Name
MR. ANSLEM ROANHORSE
Title
CEO
Phone
(505) 786-5291

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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