Organization
PUEBLO OF JEMEZ
Active
Organization
PUEBLO OF JEMEZ
Active
Other names
dba Jemez FQHC Center
Organization subpart
No
Provider details
NPI number
Authorized official
NOHEMY ROSALES (BUSINESS OFFICE MANAGER)
(575) 834-3187
Entity
Organization
Contact information
Practice address
110 SHEEP SPRINGS WAY, JEMEZ PUEBLO, NM 87024
(575) 834-7413
(575) 834-7517
Mailing address
PO BOX 279, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7413
(575) 834-7517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
EXEMPT
NM
261Q00000X
Clinic/Center
Primary
—
NM
Other
Enumeration date
09/21/2010
Last updated
07/21/2022
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