National Provider Identifier Database

DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER
Public Health, Federal


Contact Information

DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
007 CHOOSGAI DRIVE
TOHATCHI, NM87325
Phone: 505-722-1000
Fax: 505-722-1310
Website:
Specialty Taxonomy Code
* Public Health, Federal 261QP0904X

* Indicates primary specialty

NPI Profile & details for DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER

NPI Number 1902875594
Legal business name
LBN
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
Authorized official PAMELA DETSOI-SMILEY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/16/2006
Last updated 02/12/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • License #: 9435
  • AZ Medicaid: 061135
  • NM Medicaid: 06286518

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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