1437275393 NPI number — EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.,

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437275393 NPI number — EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EIGHT NORTHERN INDIAN PUEBLOS COUNCIL INC.,
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437275393
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 969
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OHKAY OWINGEH
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87566-0969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-747-1593
Provider Business Mailing Address Fax Number:
505-747-1599

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
346 EAGLE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OHKAY OWINGEH
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87566-0346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-852-1377
Provider Business Practice Location Address Fax Number:
505-852-1378
Provider Enumeration Date:
03/22/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MORFIN
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCIAL OPERATIONS
Authorized Official Telephone Number:
505-929-5186

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TB0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 28585810 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".