JICARILLA APACHE HEALTH CARE FACILITY
NPI 1346326600
Clinic/Center - Urgent Care in Dulce, NM

NPI Status: Active since October 30, 2006

Contact Information

12000 STONE LAKE RD
DULCE, NM
ZIP 87528
Phone: (505) 759-7258
Fax: (505) 759-7258

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  • Organization
  • Clinic/Center
  • Urgent Care

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 5 years ago. The authorized official of this NPI record is Mrs. Barri Rea Herbel Lpn (Urgent Care Nurse)

NPI
1346326600
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) 759-7258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2006
Last Update Date
08-22-2020
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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

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. BARRI REA HERBEL LPN

Authorized Official Title
URGENT CARE NURSE
Authorized Official Phone
(505) 759-7258

Reviews for JICARILLA APACHE HEALTH CARE FACILITY

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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.
1346326600
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386621260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 6 + 2 + 1 + 2 + 6 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1346326600 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508832791MRS. KRISTINE S WILLIAMS RD LD
Individual
Dietitian, Registered12000 STONE LAKE RD DULCE HEALTH CENTER
DULCE, NM 87528
(505) 759-3291
1255347043MRS. GAYLIA DIANNE PRIDE RN
Individual
Registered Nurse (Ambulatory Care)12000 STONE LAKE RD
DULCE, NM 87528
(505) 759-7248
1194834242 KATHERINE E BERRY RDH
Individual
Dental Hygienist12000 STONE LAKE RD JICARILLA APACHE HEALTH CARE FACILITY, IHS
DULCE, NM 87528
(575) 759-3291
1427160282 SUSAN FRANCES DONLON RN
Individual
Registered Nurse (Community Health)12000 STONE LAKE RD
DULCE, NM 87528
(505) 759-7216
1922178359DR. ROBERT PATRICK SEWELL DMD
Individual
Dentist (General Practice)12000 STONE LAKE RD
DULCE, NM 87528
(505) 759-7211
1598985798 JOHN E SHUMACK PHARMACIST
Individual
Pharmacist12000 STONE LAKE RD
DULCE, NM 87528
(575) 759-7250
1003820069JICARILLA HEALTH CARE FACILITY
Organization
Clinic/Center (Community Health)12000 STONE LAKE RD
DULCE, NM 87528
(505) 759-7286

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346326600, enumerated in the NPI registry 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

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

This NPI record was last updated on October 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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