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Contact Information

REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
1900 RED ROCK DR
GALLUP, NM87301-5682
 Phone: 505-863-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Podiatric

261QP1100X
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
 

Urgent Care

261QU0200X
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC

NPI # 1558829556
LBN Legal business name REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
Authorized official WAYNE GILLIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2019
Last updated 12/04/2024 - More than a year ago
Identifiers
NM Medicaid E9167
AZ Other 326258 ARIZONA AHCCCS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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