LAGUNA HEALTHCARE CORP (NPI# 1962001024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962001024 |
| Entity Type | Organization |
| Organization Name | LAGUNA HEALTHCARE CORP |
| Practice Address |
6 Basswood Rd Paraje NM 87007 |
| Mailing Address |
Po Box 1407 Laguna NM 87026-1407 |
| Practice Telephone | 5055525664 |
| Mailing Telephone | 5055525664 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | CARRIE L SARNICKY (CEO) |
| Authorized Official Telephone | 5055525664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Laguna Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502147 | Laguna Healthcare Corp | Family Medicine | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2019-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAGUNA HEALTHCARE CORPORATION | 7 Rio San Jose Road, Laguna, NM 87026-9998 |
| Street Address |
6 BASSWOOD RD |
| City | PARAJE |
| State | NM |
| Zip Code | 87007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659859437 | Denise Renee Sanfilippo | Nurse Practitioner | 282 Casa Blanca, Casa Blanca, NM 87007 | 2018-08-02 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1932267259 | Pueblo of Laguna | Ambulance | 5 Blue Star Loop, Paraje, NM 87007 | 2006-12-06 |
| 1023106432 | Gloria J Blea Johnson | Social Worker | Laguna Acoma Mid Senior High School Teen Center, Casa Blanca, NM 87007 | 2006-10-11 |
| 1326502147 | Laguna Healthcare Corp | Family Medicine | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2019-01-25 |
| 1316926041 | Laguna Rainbow Corporation | Skilled Nursing Facility | I-40, Exit 108, 1/2 Mile South State Road 23, Casa Blanca, NM 87007-0490 | 2006-01-11 |
| 1144777509 | Gale Sue Jones | Technician, Other | 23 Railroad Rd, Casa Blanca, NM 87007-1029 | 2016-09-02 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
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| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1700498748 | Sandia View Family Medicine, PC | Family Medicine | 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 | 2020-08-20 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1861028102 | Lindsay Sue Cerrone | Family Medicine | 6 Kalma Ln, Edgewood, NM 87015-9593 | 2020-03-18 |
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1053952473 | Healthnm, LLC | Family Medicine | 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 | 2019-10-07 |
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
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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.