| Pueblo Of Sandia | |
|
203 Sandia Day School Road Bernalillo NM 87004-7076 | |
| (505) 867-4696 | |
| (505) 771-5107 |
| Full Name | Pueblo Of Sandia |
|---|---|
| Speciality | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Location | 203 Sandia Day School Road, Bernalillo, New Mexico |
| Authorized Official Name and Position | Gwendolyn Waseta (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5057715174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Of Sandia 481 Sandia Loop Bernalillo NM 87004-7076 Ph: (505) 867-4696 | Pueblo Of Sandia 203 Sandia Day School Road Bernalillo NM 87004-7076 Ph: (505) 867-4696 |
| NPI Number | 1548588643 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 05/22/2025 |
| Medicare PECOS PAC ID | 1355524836 |
|---|---|
| Medicare Enrollment ID | O20110321000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548588643 | NPI | - | NPPES |
| 35922079 | Medicaid | NM |
| Provider Name | Cathleen Ryan Durell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356497879 PECOS PAC ID: 2567359599 Enrollment ID: I20040303000602 |
| Provider Name | Anthony N Fleg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538333554 PECOS PAC ID: 3375717259 Enrollment ID: I20111111000452 |
| Provider Name | Todd A Powell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821375361 PECOS PAC ID: 3971777020 Enrollment ID: I20131017001423 |
| Provider Name | Jason D Kurland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578889044 PECOS PAC ID: 5597991141 Enrollment ID: I20131204000775 |
| Provider Name | Minhnga Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295992576 PECOS PAC ID: 2264605229 Enrollment ID: I20200615001079 |
| Provider Name | Janet E Simon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316943897 PECOS PAC ID: 0042249229 Enrollment ID: I20200813000092 |
| Provider Name | Robin Nicole Lovato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922351238 PECOS PAC ID: 5193979417 Enrollment ID: I20200817001969 |
El Pueblo Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 Calle Del Presidente, Bernalillo, NM 87004 Phone: 505-867-2324 Fax: 505-867-3511 | |
Sandia Phs Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 Sandia Loop, Bernalillo, NM 87004 Phone: 505-248-4028 | |
Better Healing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 872 S Camino Del Pueblo Ste E, Bernalillo, NM 87004 Phone: 505-433-7309 | |
El Pueblo Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Spartan Aly, Bernalillo, NM 87004 Phone: 505-867-2324 | |
Northeast Regional Education Cooperative Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 N Camino Del Pueblo, Bernalillo, NM 87004 Phone: 505-426-2262 Fax: 505-454-1473 | |
Indian Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 Sandia Loop, Pueblo Of Sandia, Bernalillo, NM 87004 Phone: 505-771-5116 Fax: 505-771-5107 |