Organization
PUEBLO OF JEMEZ
Active
Organization
PUEBLO OF JEMEZ
Active
Other names
Jemez Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NOHEMY ROSALES (BUSINESS OFFICE MANAGER)
(575) 834-3187
Entity
Organization
Contact information
Practice address
110 SHEEPSPRINGS WAY, JEMEZ PUEBLO, NM 87024
(575) 834-0130
Mailing address
PO BOX 279, JEMEZ PUEBLO, NM 87024-0279
(575) 831-0130
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
02/11/2022
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