ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
NPI 1225103922
Clinic/Center - Health Service in Acoma, NM
NPI Status: Active since November 21, 2006
Contact Information
80 B VETERANS BLVD
ACOMA, NM
ZIP 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 32D0653181
- CLIA Cert. Type: Other - TRIBAL HEALTH CLINIC
- CLIA Exp. Date: 06-27-2027
About ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Acoma-canoncito-laguna Indian Health Center, a provider established in Acoma, New Mexico operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1225103922 assigned on November 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Acoma Canoncito Laguna Indian. The authorized official of this NPI record is Ms. Delaine Alley (Ceo)
- NPI
- 1225103922
- Provider Legal Name
- ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
- Other Organization Name
- ACOMA CANONCITO LAGUNA INDIAN
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 80 B VETERANS BLVD ACOMA, NM 87034
- Location Phone
- (505) 552-5300
- Location Fax
- (505) 552-5490
- Mailing Address
- PO BOX 130 SAN FIDEL, NM 87049
- Mailing Phone
- (505) 552-5300
- Mailing Fax
- (505) 552-5490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 03-09-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320070 | OTHER (01) | NM | RAILROAD MEDICARE |
| H3451 | MEDICAID (05) | NM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0653181
- Facility Type
- Other - TRIBAL HEALTH CLINIC
- Certificate Effective Date
- June 28, 2025
- Certificate Expiration Date
- June 27, 2027
- Laboratory Director
- DR. REBECCA H. RYAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Acoma-canoncito-laguna Indian Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225103922, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ACOMA, NM 87034
PUEBLO OF ACOMA, NM 87034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225103922, enumerated as an "organization" on November 21, 2006.
The provider is located at 80 B VETERANS BLVD ACOMA, NM 87034 and the phone number is (505) 552-5300.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
