DHHS PHS IHS ACL LAGUNA DENTAL CLINIC – NPI #1558436261
Clinic/Center

DHHS PHS IHS ACL LAGUNA DENTAL CLINIC is an AHC clinic located in NEW LAGUNA, NM. NPPES has assigned the NPI number 1558436261 to DHHS PHS IHS ACL LAGUNA DENTAL CLINIC on November 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DHHS PHS IHS ACL LAGUNA DENTAL CLINIC below.

NPI Profile for
DHHS PHS IHS ACL LAGUNA DENTAL CLINIC

NPI Number
1558436261
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHHS PHS IHS ACL LAGUNA DENTAL CLINIC
Primary location
STATE RD #124 EXIT 108 OFF I-40 3 MI NORTH
LAGUNA DENTAL CLINIC
NEW LAGUNA, NM 87038
Phone: (505) 552-6645 Fax:
Mailing address
ACOMA CANONCITO LAGUNA INDIAN HOSPITAL
PO BOX 130
SAN FIDEL, NM 87049
Phone: (505) 552-5385 Fax: (505) 552-5490
Organization Subpart
No
Authorized Official
WILLIAM THORNE
ACL IHS CEO
Phone: (505) 552-5301
Updated
Identifiers

Identifiers for DHHS PHS IHS ACL LAGUNA DENTAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNMH3451
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.