JICARILLA APACHE HEALTH CARE FACILITY
NPI 1346326600
Clinic/Center - Urgent Care in Dulce, NM
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 32D2305102
- CLIA Cert. Type: Other - COMMUNITY HEALTH
- CLIA Exp. Date: 05-23-2026
About JICARILLA APACHE HEALTH CARE FACILITY
This page provides the complete NPI Profile along with additional information for Jicarilla Apache Health Care Facility, a provider established in Dulce, New Mexico operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1346326600 assigned on October 2006. The practitioner's primary taxonomy code is 261QU0200X with license number L10182 (NM). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Barri Rea Herbel Lpn (Urgent Care Nurse)
- NPI
- 1346326600 Verify this NPI
- Provider Name
- JICARILLA APACHE HEALTH CARE FACILITY
- Entity Type
- Organization
- Location Address
- 12000 STONE LAKE RD DULCE, NM 87528
- Location Phone
- (505) 759-7258
- Location Fax
- (505) 759-7258
- Mailing Address
- 12000 STONE LAKE RD. P.O. BOX 127 DULCE, NM 87528
- Mailing Phone
- (505) 759-7258
- Mailing Fax
- (505) 759-7287
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2006
- Last Update Date
- 08-22-2020
- 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 Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- L10182
- License State
- 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
- 32D2305102
- Facility Type
- Other - COMMUNITY HEALTH
- Certificate Effective Date
- May 24, 2024
- Certificate Expiration Date
- May 23, 2026
- Laboratory Director
- SABRINA J. BACA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jicarilla Apache Health Care Facility to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
DULCE, NM 87528
DULCE, NM 87528
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346326600, enumerated as an "organization" on October 30, 2006.
The provider is located at 12000 STONE LAKE RD DULCE, NM 87528 and the phone number is (505) 759-7258.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
