La Clinica del Pueblo de Rio Arriab
NPI 1861630410ActiveOrganization· Clinic/Center· Tierra Amarilla, NM
Clinic/Center in Tierra Amarilla, New Mexico, registered in NPPES in February 2009, part of La Clinica del Pueblo de Rio Arriba. The authorized official on file is Stephanie Gordon, Emr/Credentialing.
Overview
| NPI | 1861630410 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | La Clinica del Pueblo de Rio Arriba |
| NPI issued | Feb 4, 2009 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 6253 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|