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
- 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 15 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
- Code Navigator
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 |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 | Identifier Issuer |
|---|---|---|---|
| HSZ196 | MEDICARE ID-TYPE UNSPECIFIED (04) | NM | |
| 000K3526 | MEDICAID (05) | NM | |
| 320057 | MEDICARE OSCAR/CERTIFICATION (06) | NM |
Reviews for JICARILLA SERVICE UNIT
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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. | |||||||||
| 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.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265460851 | MARICELA BONILLA O.D. Individual | Optometrist | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-7281 |
| 1467476440 | MS. SUSAN CONSTANCE RN Individual | Registered Nurse (Ambulatory Care) | 500 NORTH MUNDO DULCE, NM 87528 (505) 759-3291 |
| 1356358881 | MRS. MARIE S MARCH RN Individual | Registered Nurse | 500 NORTH MUNDO DULCE, NM 87528 (505) 759-3291 |
| 1144323353 | MS. JENNIFER LEA LEA CLAYCOMB MD Individual | Family Medicine | 500 NORTH MUNDO DULCE, NM 87528 (505) 759-3291 |
| 1265591606 | STEVEN JOHN PETRAKIS MD Individual | Family Medicine | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-3291 |
| 1013215813 | DEANNA S IOVINE RN Individual | Registered Nurse | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-3291 |
| 1043594906 | SONJA H EMERSON RN Individual | Registered Nurse (Community Health) | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-7286 |
| 1134490790 | PHYLLIS DIANE MOREHEAD RN Individual | Registered Nurse | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-3291 |
| 1508138660 | MS. MARIE TALLENT DELOACH MT(ASCP) Individual | Specialist/Technologist, Pathology (Medical Technologist) | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-7252 |
| 1548437338 | DR. BICHSON PHAM D.O. Individual | Family Medicine | 500 NORTH MUNDO DULCE, NM 87528 (575) 759-3291 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750388963, enumerated in the NPI registry as an "organization" on July 01, 2005
The provider is located at 500 North Mundo Dulce, Nm 87528 and the phone number is (505) 759-3291
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 01, 2005. 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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