INDIAN HEALTH SERVICE (NPI# 1851377667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851377667 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH SERVICE |
| Practice Address |
801 Vassar Dr Ne Albuquerque NM 87106-2725 |
| Practice Telephone | 5052484065 |
| Practice Fax Number | 5052484088 |
| Mailing Telephone | 5052484065 |
| Mailing Fax Number | 5052484088 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MS. ROSE ROWAN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5052484065 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
R29941 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000S5578 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527668 | Indian Health Service | Clinic/Center | 121 Mission Avenue, Saint Xavier, MT 59075-0114 | 2014-07-28 |
| 1053653667 | Indian Health Service | General Acute Care Hospital | 26045 U.S. Hwy 18, Rosebud, SD 57570-0400 | 2013-03-21 |
| 1487905691 | Indian Health Service | Clinical Medical Laboratory | 4109 Galena St Se, Lacey, WA 98503-2187 | 2012-09-27 |
| 1922337716 | Indian Health Service | General Acute Care Hospital | 3500 Canyon Lake Dr, Rapid City, SD 57702-3118 | 2009-12-08 |
| 1134313232 | Indian Health Service | Clinic/Center | Rustling Willow, Complex D, Towaoc, CO 81334-0049 | 2007-08-31 |
| 1033313879 | Indian Health Service | Radiologic Technologist | 1030 Blue Sage Ct, Hardin, MT 59034-2257 | 2007-06-14 |
| 1770518532 | Indian Health Service | Clinic/Center | Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514-0128 | 2006-07-11 |
| 1194185017 | Indian Health Service | General Acute Care Hospital | Soldier Creek Road, Pob 400, Rosebud, SD 57570-0400 | 2016-03-04 |
| 1457716227 | Indian Health Service | Clinic/Center | 107 H Street E, Poplar, MT 59255 | 2015-12-22 |
| 1063811354 | Indian Health Service | General Acute Care Hospital | 24276 Airport Rd, Eagle Butte, SD 57625 | 2014-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICE | 3349 B Thrasher Rd, White Cloud, KS 66094-4005 |
| System for Award Management (SAM) Entities | INDIAN HEALTH SERVICES/RURAL DEVELOPMENT | 103 E Walnut St, Whiteriver, AZ 85941 |
| Street Address |
801 VASSAR DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384673 | Elizabeth D Perea | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2005-05-24 |
| 1710533914 | David Wayne Sigars | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2019-08-13 |
| 1952881120 | Joseph Anthony Nardolillo | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-08-17 |
| 1487159794 | Alyeshka Liz Jusino- Acosta | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-03-28 |
| 1851890495 | Mariela Cisco | Dietitian, Registered | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-02-09 |
| 1003364050 | Taylor Morris | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-09-20 |
| 1528516531 | Nicholas Cushman | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-09-19 |
| 1700332103 | Grace-anne Stimpson | Nurse Practitioner | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-08-26 |
| 1134504236 | Sean Navin | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2015-07-30 |
| 1295131027 | Tenzin Jangchup | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538344965 | Marvin Denzel Call | Clinic/Center | 2178 Cattail Willow Ave Ne, Albuquerque, NM 87122-1023 | 2008-01-03 |
| 1932221231 | Albuquerque Indian Health Center Pharmacy | Clinic/Center | 801 Vassar Dr Ne, Pharmacy Department, Albuquerque, NM 87106-2725 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1013011212 | Alamo Navajo Health Center | Clinic/Center | 30 Miles N of Hwy 60 On Hwy 169, Magdalena, NM 87825-0907 | 2006-09-11 |
| 1750388963 | Dulce Health Center | Clinic/Center | 500 North Mundo, Dulce, NM 87528-0187 | 2005-07-01 |
| 1952771750 | Santa Fe Indian Hospital | Clinic/Center | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2015-10-06 |
| 1548597743 | Dhhs/ihs/aao/jsu/dulce Health Center | Clinic/Center | 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | 2009-11-09 |
| 1225150535 | Sandia Phs Health Center | Clinic/Center | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2007-04-06 |
| 1679614598 | Indian Health Service | Clinic/Center | 481 Sandia Loop, Pueblo of Sandia, Bernalillo, NM 87004-7076 | 2007-02-12 |
| 1902875594 | Dhhs, Phs, Naihs, Gallup Indian Medical Center | Clinic/Center | 007 Choosgai Drive, Tohatchi, NM 87325 | 2006-03-16 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on INDIAN HEALTH SERVICE.
| 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.