Organization
ZIA HEALTH CENTER
Active
Parent organization
ALBUQUERQUE INDIAN HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBUQUERQUE INDIAN HEALTH CENTER
Authorized official
MS. JACQUELINE E ALEXANDER (CEO, ACTING)
(505) 248-4062
Entity
Organization
Contact information
Practice address
155B CAPITAL SQUARE DRIVE, ZIA PUEBLO, NM 87053
(505) 867-5258
(505) 771-9452
Mailing address
801 VASSAR DRIVE NE, ALBUQUERQUE, NM 87106
(505) 867-5258
(505) 248-7701
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94682551
—
NM
01
—
HSZ163
GROUP
NM
Enumeration date
12/12/2006
Last updated
04/10/2013
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