Organization
PUEBLO OF LAGUNA
Active
Other names
Community Health & Wellness Dept
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONA A DILLARD (DIRECTOR HEALTH WELLNESS DEPARTMENT)
(505) 552-5741
Entity
Organization
Contact information
Practice address
7 SAN JOSE ROAD, LAGUNA, NM 87026-0194
(505) 552-6652
(505) 552-0605
Mailing address
3 SAN JOSE, LAGUNA, NM 87026-5026
(505) 552-6652
(505) 552-0605
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
01221825
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01221825
—
NM
Enumeration date
03/21/2014
Last updated
03/21/2014
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