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Organization

SANDIA HEALTH CENTER

Active
Parent organization
ALBUQUERQUE INDIAN HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALBUQUERQUE INDIAN HEALTH CENTER
Authorized official
MARIA RICKERT (CEO)
(505) 248-4062
Entity
Organization

Contact information

Practice address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 867-4487
(505) 771-5126
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-7711
(505) 248-7701

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H7890
NM
01
HSZ164
GROUP
NM
Enumeration date
12/12/2006
Last updated
04/22/2008
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