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JICARILLA APACHE NATION DIALYSIS TREATMENT CENTER
NPI 1881020089
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dulce, NM

Active since September 19, 2013
2/5
Overall Rating
450 N MUNDO DR., DULCE, NM 87528(575) 759-4206(575) 759-4471 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jicarilla Apache Nation Dialysis Treatment Center NPPES

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

JICARILLA APACHE NATION DIALYSIS TREATMENT CENTER (NPI 1881020089) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dulce, New Mexico and active in the NPI registry since September 2013. The organization lists Ty Vicenti, President, as its authorized official.

NPPES Registry Identity

NPI1881020089
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameJICARILLA APACHE NATION
Location Address450 N MUNDO DR.Dulce, NM 87528
Mailing Address450 N Mundo Dr.Dulce, NM 87528 · (575) 759-4206 · Fax (575) 759-4471
Phone(575) 759-4206
Fax(575) 759-4471
Organization SubpartNo
Authorized OfficialTy VicentiPresident · (575) 759-4201
Enumeration DateSeptember 19, 2013
Last NPPES UpdateMay 20, 2015
✔ NPI 1881020089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
450 N MUNDO DR., Dulce, NM 87528
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Other Names 1

Doing Business AsJicarilla Apache Nation Dialysis Treatment Center

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for 322545 Jicarilla Apache Nation Dialysis Treatment Center (CMS certification number 322545), from CMS Care Compare.

322545 Jicarilla Apache Nation Dialysis Treatment Center

Dialysis facility · Dulce, NM
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number322545
ESRD NetworkNetwork 15
Hemodialysis Stations12
Medicare-Certified SinceMarch 19, 2015
Location450 N MUNDO DRDulce, NM 87528 · Rio Arriba County
Phone(575) 759-0039
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Jicarilla Apache Nation's NPI number?

The NPI number for Jicarilla Apache Nation is 1881020089. It was assigned to this organization in the NPPES registry on September 19, 2013. The provider is doing business as Jicarilla Apache Nation Dialysis Treatment Center.

Where is Jicarilla Apache Nation located?

Jicarilla Apache Nation is located at 450 N Mundo Dr., Dulce, NM 87528. The listed phone number is (575) 759-4206.

What is Jicarilla Apache Nation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Jicarilla Apache Nation a Medicare-certified dialysis facility?

Yes. 322545 Jicarilla Apache Nation Dialysis Treatment Center is a Medicare-certified dialysis facility, certified since March 19, 2015.

What quality rating does Jicarilla Apache Nation have?

CMS rates 322545 Jicarilla Apache Nation Dialysis Treatment Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Jicarilla Apache Nation accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jicarilla Apache Nation 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 Jicarilla Apache Nation was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.