OrganizationActive
Jicarilla Health Care Facility
NPI 1003820069 · Community Health Clinic/Center · Dulce, NM
Provider details
- NPI number
- 1003820069
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Pryor, Public Health Nurse(505) 759-7286
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12000 Stone Lake Rd
Dulce, NM 87528
Phone: (505) 759-7286
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1144
Pagosa Springs, CO 81147-1144
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.