Clinic/Center
JAL HOSPITAL DISTRICT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558583005 · enumerated 2007-05-03 · record updated 2024-07-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LIZA TACKETT, CREDENTIALING ADMINISTRATOR · (575) 395-3400
Other names: JAL CLINIC
Addresses and phones
- Practice location 805 WEST KANSAS AVENUE, JAL, NM, 88252 (575) 395-3400 Fax (575) 395-3355 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX Z, JAL, NM, 88252-2525 (575) 395-3400 Fax (575) 395-3355 Google Maps Apple Maps OpenStreetMap
Specialties
- General Practice 208D00000X
- Physical Therapist 225100000X
- Clinic/Center 261Q00000X · Primary · License 6179 NM
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Psych/Mental Health 363LP0808X
In this directory
Locations and evidence
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Practice location
JAL, NM, 88252
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.