Organization
CANONCITO BAND OF NAVAJOS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL O'SHEA M.D. (CHIEF MEDICAL OFFICER)
(505) 908-2307
Entity
Organization
Contact information
Practice address
129 MEDICINE HORSE DRIVE, TO'HAJIILEE, NM 87026-3528
(505) 908-2307
(505) 908-2310
Mailing address
PO BOX 3528, TOHAJIILEE, NM 87026-3528
(505) 908-2307
(505) 908-2310
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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