Dhhs/ihs/aao/jsu/dulce Health Center

NPI #1548597743 in Dulce, New Mexico

Provider Information

NPI Number
1548597743
Entity Type
Organization
Organization Name
Dhhs/ihs/aao/jsu/dulce Health Center
Primary Specialty
Clinic/Center - Public Health, Federal
Enumeration Date
Nov 9, 2009
Last Updated
Nov 9, 2009

Practice Location

Address
12000 STONE LAKE ROAD
Address 2
JICARILLA SERVICE UNIT
City
Dulce
ZIP Code
87528
Phone
(575) 759-3291

Authorized Official

Name
CHARLENE HAMILTON
Title
CHIEF EXECUTIVE OFFICER
Phone
(575) 759-7200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, FederalPublic Health, Federal

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