Organization
PUEBLO OF ISLETA
Active
Other names
Pueblo of Isleta Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LAHI (CEO)
(505) 869-4094
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
09/12/2022
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