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

Table of content: (NPI 1437275393)

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".