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Organization

PUEBLO OF ISLETA

Active
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Organization

PUEBLO OF ISLETA

Active
Other names
Isleta Health Center, Pueblo of Isleta Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY POHL (CEO)
(505) 869-3200
Entity
Organization

Contact information

Practice address
01 SAGEBRUSH, ISLETA, NM 87022
(505) 869-3200
(505) 869-4881
Mailing address
PO BOX 640, 01 SAGEBRUSH, ISLETA, NM 87022

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30852081
NM
Enumeration date
08/15/2006
Last updated
08/19/2026
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