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Pueblo Of Zuni

Pueblo Of Zuni is a health care provider in Zuni, NM. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 02 Twin Buttes Dr, Zuni, NM 87327-0000, US
Practice Location Phone505-782-5719
Practice Location Fax
Legal Business NamePUEBLO OF ZUNI
Other Organization NameZUNI TEEN HEALTH CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1790118446
Entity TypeOrganization
Enumeration Date ? Aug 16, 2013
Last Update Date ? Jul 20, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Pueblo Of Zuni

SpecialtySpecializationLicenseLicense State
Clinic/CenterMental Health (Including Community Mental Health Center)

legacy-id-icon Legacy Provider IDs of Pueblo Of Zuni

Provider IdIssuer StateIssuer TypeIssuer
11233371New MexicoMedicaid

official-icon Authorized Official of Pueblo Of Zuni

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Pueblo Of Zuni's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Marnella Kucate-yepa
Authorized Official Title/PositionPROGRAM MANAGER
Authorized Official Phone Number505-782-5719