JICARILLA SERVICE UNIT
NPI 1750388963
General Acute Care Hospital in Dulce, NM

NPI Status: Active since July 01, 2005

Contact Information

500 NORTH MUNDO
DULCE, NM
ZIP 87528
Phone: (505) 759-3291
Fax: (505) 759-3532

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Acute Care Hospital

About JICARILLA SERVICE UNIT

This page provides the complete NPI Profile along with additional information for Jicarilla Service Unit, a provider established in Dulce, New Mexico operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1750388963 assigned on July 2005. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Jicarilla Service Unit. The authorized official of this NPI record is Mrs. Sandra Lahi (Chief Executive Officer)

NPI: 1750388963
Provider Legal Name: DULCE HEALTH CENTER
Other Organization Name: JICARILLA SERVICE UNIT
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 500 NORTH MUNDO DULCE, NM 87528
Location Phone: (505) 759-3291
Location Fax: (505) 759-3532
Mailing Address: 500 NORTH MUNDO DULCE, NM 87528
Mailing Phone: (505) 759-3291
Mailing Fax: (505) 759-3532
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-01-2005
Last Update Date: 01-11-2011
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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: General Acute Care Hospital
Taxonomy Code: 282N00000X
Type: Hospitals
Taxonomy Description: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261QP0904X	Ambulatory Health Care Facilities	Clinic/Center Public Health, Federal

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. SANDRA LAHI
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (505) 759-7200

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
HSZ196	MEDICARE ID-TYPE UNSPECIFIED (04)	NM
000K3526	MEDICAID (05)	NM
320057	MEDICARE OSCAR/CERTIFICATION (06)	NM

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	3	8	8	9	6	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	6	8	16	9	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 6 + 9 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1750388963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.