NPI | 1962001024 |
---|---|
Doing Business As | LAGUNA COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CARRIE L SARNICKY CEO 505-552-5664 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2020-10-20 |
Last Update Date | 2021-01-07 |