DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER; NPI #1902875594

Contact Information

DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER

007 CHOOSGAI DRIVE
TOHATCHI, NM 87325

Phone: 505-722-1000
Fax: 505-722-1310
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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

NPI # 1902875594

LBN Legal business name DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER

Authorized official PAMELA DETSOI-SMILEY - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/16/2006

Last updated 02/12/2025 - More than a year ago

Identifiers

	License #	9435
AZ	Medicaid	061135
NM	Medicaid	06286518

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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