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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