# PUEBLO OF ISLETA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUEBLO OF ISLETA
- **Other names:** Pueblo of Isleta Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326590191
- **Legal business name:** PUEBLO OF ISLETA
- **Authorized official:** VOLELLE ZAMORA CEO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (505) 869-4094

## Contact information

- **Practice address:** 01 SAGEBRUSH, ISLETA, NM 87022
- **Practice address phone:** (505) 869-3200
- **Practice address fax:** (505) 869-4881
- **Mailing address:** PO BOX 640, ISLETA, NM 87022-0640
- **Mailing address phone:** (505) 869-3200
- **Mailing address fax:** (505) 869-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016