Organization
CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.
Active
Parent organization
CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.
Other names
CBN Health Center, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.
Authorized official
MRS. BEVERLY LEWIS (BUSINESS OFFICE)
(505) 908-2307
Entity
Organization
Contact information
Practice address
129 MEDICINE HORSE DRIVE, TOHAJIILEE, NM 87026
(505) 908-2307
(505) 908-2310
Mailing address
129 MEDICINE HORSE DRIVE, TOHAJIILEE, NM 87026
(505) 908-2307
(505) 908-2310
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91286018
—
NM
Enumeration date
09/01/2016
Last updated
02/01/2017
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