# CANONCITO COMMUNITY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DHHS USPHS INDIAN HEALTH SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841365558
- **Authorized official:** BARBARA FELIPE (ACL IHS CEO)
- **Authorized official phone:** (505) 552-5303

## Contact information

- **Practice address:** EXIT \#131 OFF I 40 6 MILES NORTH, SAN FIDEL, NM 87049-0130
- **Practice address phone:** (505) 552-5385
- **Practice address fax:** (505) 552-5828
- **Mailing address:** ACOMA CANONCITO LAGUNA INDIAN HOSPITAL, PO BOX 130, SAN FIDEL, NM 87049
- **Mailing address phone:** (505) 552-5385
- **Mailing address fax:** (505) 552-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 01/09/2012