ACOMA-CANONCITO-LAGUNA INDIAN (NPI# 1225103922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225103922 |
| Entity Type | Organization |
| Organization Name | ACOMA-CANONCITO-LAGUNA INDIAN |
| Practice Address |
80 B Veterans Blvd Acoma NM 87034 |
| Mailing Address |
Po Box 130 San Fidel NM 87049-0130 |
| Practice Telephone | 5055525300 |
| Practice Fax Number | 5055525490 |
| Mailing Telephone | 5055525300 |
| Mailing Fax Number | 5055525490 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | BARBARA FELIPE (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 5055525303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H3451 | 05 | |
| NM | RAILROAD MEDICARE | 320070 | 01 |
| Other Name | Type Code |
|---|---|
| DHHS USPHS INDIAN HEALTH SERVICES | Doing Business As Name - Organization |
| Street Address |
80 B VETERANS BLVD |
| City | ACOMA |
| State | NM |
| Zip Code | 87034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970779 | James H Urbina | Internal Medicine | 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 | 2005-05-23 |
| 1528604303 | Lisa Spero | Nurse Practitioner | 80 B Veterans Blvd, Acoma, NM 87034 | 2019-11-27 |
| 1689029860 | Muna S Sheikh | Internal Medicine | 80 B Veterans Blvd, Acoma, NM 87034 | 2016-04-26 |
| 1639523855 | Roberto Carlos Montes | Psychologist | 80 B Veterans Blvd, Acoma, NM 87034 | 2016-04-14 |
| 1972961068 | Aline Bayard | Nurse Practitioner | 80 B Veterans Blvd, Acoma, NM 87034 | 2016-02-03 |
| 1093188724 | Janet E Dominguez | Nurse Practitioner | 80 B Veterans Blvd, Acoma, NM 87034 | 2015-11-03 |
| 1124491949 | Patricia A Monroe | Nurse Practitioner | 80 B Veterans Blvd, Acoma, NM 87034 | 2015-11-02 |
| 1033594122 | Hlengiwe Lindani Sibanda | Nurse Practitioner | 80 B Veterans Blvd, Acoma, NM 87034-0536 | 2015-07-30 |
| 1851774392 | Caleb Vanderveen | Family Medicine | 80 B Veterans Blvd, Acoma, NM 87034 | 2015-07-01 |
| 1669721122 | Shawn P Giorgianni | Emergency Medical Technician, Paramedic | 80 B Veterans Blvd, Acl-ihs, Acoma, NM 87034 | 2012-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1306486857 | Mallery Chino | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Acoma, NM 87034 | 2020-01-13 |
| 1700340841 | Thomas Simon Vallo | Case Manager/Care Coordinator | 45 Pinbaari Drive, Acoma, NM 87034 | 2019-01-23 |
| 1649777053 | Amanda Jean Garcia | Counselor | 99b Sunrise Rd, Pueblo of Acoma, NM 87034 | 2018-04-11 |
| 1356850754 | Korey B Still | Dentist | 80 B Veterans Blvd., Acoma, NM 87034 | 2017-09-28 |
| 1508395278 | Shelby Bobelu | Social Worker | 45 Pinsbarri Dr., Acoma, NM 87034 | 2017-06-07 |
| 1558817270 | Amanda Lucario | Technician, Other | 1253 Haaku Road, Acoma, NM 87034 | 2016-09-01 |
| 1073961355 | Rhayna Dannielle Walizer | Social Worker | 45 Pinsbarri Dr, Acoma, NM 87034 | 2016-05-27 |
| 1417305715 | Everett Chavez | Counselor | 45 Pinsbaari, Acoma, NM 87034 | 2016-05-26 |
| 1952758047 | Lonnie Lewis | Counselor | 33 Pinsbaari Drive, Acoma, NM 87034 | 2016-05-18 |
| Find all providers in zip 87034 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1558838607 | Albuquerque Er LLC | General Acute Care Hospital | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2018-10-26 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
| 1396124616 | Presbyterian Medical Service | General Acute Care Hospital | 8109 Tangerine Pl Nw, Albuquerque, NM 87120-5587 | 2015-05-19 |
| 1770841728 | Unm Hospital | General Acute Care Hospital | Unm Hospital Pediatric Neurology, 2211 Lomas Blvd., 3rd Floor, Albuquerque, NM 87131-0001 | 2012-04-27 |
| 1598056749 | University of New Mexico School of Medicine | General Acute Care Hospital | 13305 Wilderness Pl Ne, Albuquerque, NM 87111-9221 | 2011-04-22 |
| 1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
| 1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
| 1235376609 | Traci Gae Blair | General Acute Care Hospital | 5232 Saratoga Ct Nw, Albuquerque, NM 87120-2296 | 2009-01-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.