LA CLINICA DEL PUEBLO DE RIO ARRIBA
NPI 1215129291
Ambulance - Land Transport in Tierra Amarilla, NM
About La Clinica Del Pueblo De Rio Arriba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA CLINICA DEL PUEBLO DE RIO ARRIBA (NPI 1215129291) is a healthcare organization registered as a land transport in Tierra Amarilla, New Mexico and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Paula G Gurule, Interim Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Clinica Del Pueblo De Rio Arriba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D0653269
La Clinica Del Pueblo De Rio Arriba · Tierra Amarilla, NMAreas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 La Clinica Del Pueblo De Rio Arriba's NPI number?
The NPI number for La Clinica Del Pueblo De Rio Arriba is 1215129291. It was assigned to this organization in the NPPES registry on August 14, 2007.
Where is La Clinica Del Pueblo De Rio Arriba located?
La Clinica Del Pueblo De Rio Arriba is located at #14 County Rd 0324 Highway 84, Tierra Amarilla, NM 87575. The listed phone number is (575) 588-7252.
What is La Clinica Del Pueblo De Rio Arriba's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is La Clinica Del Pueblo De Rio Arriba enrolled in Medicare?
Yes. La Clinica Del Pueblo De Rio Arriba is registered in the Medicare PECOS enrollment system.
When is La Clinica Del Pueblo De Rio Arriba's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Ambulance Service Supplier) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does La Clinica Del Pueblo De Rio Arriba hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0653269) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for La Clinica Del Pueblo De Rio Arriba was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# La Clinica Del Pueblo De Rio Arriba · NPI 1215129291
Land Transport organization in Tierra Amarilla, New Mexico. Organization record, active in the CMS NPPES registry since August 14, 2007.
## Identity
- **NPI:** 1215129291 (Entity type: Organization)
- **Enumerated:** August 14, 2007
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Paula Gurule, INTERIM EXECUTIVE DIRECTOR
## Practice location
- **Address:** #14 COUNTY RD 0324 HIGHWAY 84, Tierra Amarilla, NM 87575
- **Phone:** (575) 588-7252 · **Fax:** (575) 588-9132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Mexico, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215129291) · Data from the CMS NPPES public registry.