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Organization
PINE HILL HEALTH CENTER
Active
Organization
PINE HILL HEALTH CENTER
Active
Other names
PINE HILL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BECKER (CLINIC ADMINISTRATOR)
(505) 775-3271
Entity
Organization
Contact information
Practice address
BIA RT 125, PINE HILL, NM 87357
(505) 775-3271
(505) 775-3633
Mailing address
PHARMACY DEPT, PO BOX 310, PINE HILL, NM 87357
(505) 775-3271
(505) 775-3633
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058706
PK
—
05
—
55587
—
NM
05
—
69964
—
NM
Enumeration date
12/04/2006
Last updated
01/10/2023
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