Organization
RAMAH NAVAJO SCHOOL BOARD, INC
Active
Other names
Pine Hill Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BECKER (CHIEF HEALTH ADMINISTRATOR)
(505) 775-3271
Entity
Organization
Contact information
Practice address
12 BIA 120, PO BOX 310, PINE HILL, NM 87357-0310
(505) 775-3271
(505) 775-3233
Mailing address
PO BOX 310, PINE HILL, NM 87357-0310
(505) 775-3271
(505) 775-3233
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
3416L0300X
Land Ambulance
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00055587
—
NM
05
—
R0829
—
NM
Enumeration date
03/16/2007
Last updated
09/27/2017
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