JICARILLA HEALTH CARE FACILITY
NPI 1003820069
Clinic/Center - Community Health in Dulce, NM
About Jicarilla Health Care Facility NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JICARILLA HEALTH CARE FACILITY (NPI 1003820069) is a healthcare organization registered as a community health in Dulce, New Mexico and active in the NPI registry since July 2006. The organization lists Thomas T Pryor, Public Health Nurse, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DULCE, NM 87528
DULCE, NM 87528
DULCE, NM 87528
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jicarilla Health Care Facility's NPI number?
The NPI number for Jicarilla Health Care Facility is 1003820069. It was assigned to this organization in the NPPES registry on July 27, 2006.
Where is Jicarilla Health Care Facility located?
Jicarilla Health Care Facility is located at 12000 Stone Lake Rd, Dulce, NM 87528. The listed phone number is (505) 759-7286.
What is Jicarilla Health Care Facility's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
When was this NPI record last updated?
The NPPES record for Jicarilla Health Care Facility was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jicarilla Health Care Facility · NPI 1003820069
Community Health organization in Dulce, New Mexico. Organization record, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1003820069 (Entity type: Organization)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Organization subpart:** No
- **Authorized official:** Thomas Pryor, PUBLIC HEALTH NURSE
## Practice location
- **Address:** 12000 STONE LAKE RD, Dulce, NM 87528
- **Phone:** (505) 759-7286
## Record status
- **NPPES last updated:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1003820069) · Data from the CMS NPPES public registry.