OrganizationActive
Indian Health Service- Jicarilla Service Unit
NPI 1477628659 · Clinical Medical Laboratory · Dulce, NM
Indian Health Service- Jicarilla Service Unit is a Clinical Medical Laboratory organization in Dulce, NM (NPI 1477628659).
Provider details
- NPI number
- 1477628659
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jim Sutton, Ceo(505) 759-3291
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12000 Stone Lake Drive
Dulce, NM 87528-0187
Phone: (505) 759-3291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 804
Dulce, NM 87528-0804
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Indian Health Service- Jicarilla Service Unit's NPI number?
- Indian Health Service- Jicarilla Service Unit's National Provider Identifier (NPI) is 1477628659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian Health Service- Jicarilla Service Unit?
- Indian Health Service- Jicarilla Service Unit is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Indian Health Service- Jicarilla Service Unit located?
- Indian Health Service- Jicarilla Service Unit's practice location on file with NPPES is 12000 Stone Lake Drive, Dulce, NM 87528-0187.
- What is Indian Health Service- Jicarilla Service Unit's phone number?
- The practice phone number listed in the NPPES registry for Indian Health Service- Jicarilla Service Unit is (505) 759-3291.
- Who is the authorized official for Indian Health Service- Jicarilla Service Unit?
- The authorized official listed on Indian Health Service- Jicarilla Service Unit's NPPES record is Jim Sutton, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian Health Service- Jicarilla Service Unit's NPI active?
- Yes — Indian Health Service- Jicarilla Service Unit's NPI (1477628659) is active in the NPPES registry as of the last update on 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.