Organization
LAGUNA HEALTHCARE CORPORATION
Active
Other names
Laguna Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE L SARNICKY (CEO)
(505) 552-5664
Entity
Organization
Contact information
Practice address
6 BASSWOOD RD, PARAJE, NM 87007
(505) 552-5664
Mailing address
PO BOX 1407, LAGUNA, NM 87026-1407
(505) 552-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Enumeration date
10/20/2020
Last updated
01/07/2021
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