Organization
PUEBLO OF SAN FELIPE
Active
Organization
PUEBLO OF SAN FELIPE
Active
Other names
San Felipe Pueblo health & Wellness Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE D. GARCIA (PUEBLO OF SAN FELIPE TRIBAL ADMIN)
(505) 867-3381
Entity
Organization
Contact information
Practice address
3 CEDAR RD., SAN FELIPE, NM 87001
(505) 867-9616
(505) 771-9992
Mailing address
PO BOX 4339, SAN FELIPE, NM 87001
(505) 867-9616
(505) 771-9992
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81271875
PHARMACY
NM
05
—
81271875
—
NM
05
—
99624371
—
NM
Enumeration date
11/02/2006
Last updated
07/15/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up