Organization
PUEBLO OF ISLETA
Active
Parent organization
PUEBLO OF ISLETA
Other names
Pueblo of Isleta Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUEBLO OF ISLETA
Authorized official
VOLELLE ZAMORA CEO (CHIEF EXECUTIVE OFFICER)
(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, ISLETA, NM 87022-0640
(505) 869-3200
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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