PUEBLO OF JEMEZ
NPI 1417082215
Clinic/Center in Jemez Pueblo, NM

Q: What is Pueblo Of Jemez's NPI number?

The NPI number for Pueblo Of Jemez is 1417082215. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is Pueblo Of Jemez's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Pueblo Of Jemez was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2007

110 SHEEP SPRINGS WAY, JEMEZ PUEBLO, NM 87024(575) 834-7413(575) 834-7517 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Pueblo Of Jemez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO OF JEMEZ (NPI 1417082215) is a healthcare organization registered as a clinic/center in Jemez Pueblo, New Mexico and active in the NPI registry since February 2007. The organization lists Nohemy Rosales, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417082215

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePUEBLO OF JEMEZ

Location Address110 SHEEP SPRINGS WAYJemez Pueblo, NM 87024

Mailing AddressPo Box 279Jemez Pueblo, NM 87024-0279 · (575) 834-7413 · Fax (575) 834-7517

Phone(575) 834-7413

Fax(575) 834-7517

Organization SubpartNo

Authorized OfficialNohemy RosalesBusiness Office Manager · (575) 834-3187

Enumeration DateFebruary 22, 2007

Last NPPES UpdateFebruary 11, 2022

NPPES CertifiedFebruary 11, 2022

✔ NPI 1417082215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NM · NA

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

110 SHEEP SPRINGS WAY, Jemez Pueblo, NM 87024

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Other Identifiers 3

Medicaid65337239NM

Other79737NM · Medicaid Clinic Pharmacy

Other3209308NM · Ncpdp Clinic Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY L DARROW MD

Family Medicine