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CIBOLA FAMILY HEALTH CENTER
NPI 1457675266
Clinic/Center - Rural Health in Grants, NM

Active since March 23, 2010CLIA 32D1051567 · Microscopy
1423 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-6500(505) 287-5393 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, Nov 21, 2019, Apr 22, 2019 and 1 more (4 updates tracked since 2019).

About Cibola Family Health Center NPPES

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

CIBOLA FAMILY HEALTH CENTER (NPI 1457675266) is a healthcare organization registered as a rural health in Grants, New Mexico and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through March 5, 2028 and lists Donna Rojas, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1457675266
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCIBOLA GENERAL HOSPITAL CORPORATION
Location Address1423 E ROOSEVELT AVEGrants, NM 87020-2245
Mailing Address1423 E Roosevelt AveGrants, NM 87020-2245 · (505) 287-6500 · Fax (505) 287-5393
Phone(505) 287-6500
Fax(505) 287-5393
Organization SubpartNo
Authorized OfficialDonna RojasCredentialing Specialist · (505) 287-5202
Enumeration DateMarch 23, 2010
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1457675266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
1423 E ROOSEVELT AVE, Grants, NM 87020
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Other Names 1

Doing Business AsCibola Family Health Center

Other Identifiers 2

Other323409NM · Medicare Ptan
Medicaid63306514NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

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 for Provider-Performed Microscopy Procedures (PPMP) 32D1051567

Cibola Family Health · Grants, NM
Active · expires Mar 5, 2028
CLIA Number32D1051567
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorDr. Arnold W. Valdivia
Laboratory Phone(505) 287-6500
Laboratory LocationCibola Family Health1423 E Roosevelt Ave, Grants, NM 87020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

LEANNA M GAISTHIA COMMUNITY HEALTH WOR
Community Health Worker
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
SANDRA MICHELLE SUAZO CHW
Community Health Worker
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6506
JAMES WOODSON CRUM
Physician Assistant (Medical)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
MARTHA ELIA REYES FNP-C
Nurse Practitioner (Family)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
DR. SNOW PETERSEN M.D., M.P.H.
Surgery
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
LILIAN AMEH MD
Family Medicine
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
STACEY DIMITT MD
Family Medicine
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
FRANCIS WALTER MALAJ PA-C
Physician Assistant (Medical)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500

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 Cibola General Hospital Corporation's NPI number?

The NPI number for Cibola General Hospital Corporation is 1457675266. It was assigned to this organization in the NPPES registry on March 23, 2010. The provider is doing business as Cibola Family Health Center.

Where is Cibola General Hospital Corporation located?

Cibola General Hospital Corporation is located at 1423 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-6500.

What is Cibola General Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Cibola General Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D1051567) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cibola General Hospital Corporation accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Cibola General Hospital Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cibola General Hospital Corporation was last updated on August 18, 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.