National Provider Identifier Database

REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES INC
Critical Access

Contact Information

REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
1901 REDROCK DR
GALLUP, NM  87301-5683
Phone: 505-863-7000
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Body Imaging 2085B0100X
Cardiovascular Disease 207RC0000X
Clinical Pathology/Laboratory Medicine 207ZP0105X
Critical Access Hospital 261QC0050X
Diagnostic Radiology 2085R0202X
General Acute Care Hospital 282N00000X
Pain Medicine 207LP2900X
Pulmonary Disease 207RP1001X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

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

NPI Number 1689784506
Legal business name
LBN		 REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
Authorized official WAYNE GILLIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 12/04/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 6267
  • AZ Medicaid: 188707
  • NM Medicaid: 46029
  • Other: X002467 CHAMPUS/HOSP-BASED
  • Other: CR0819/CT1912 RR MEDICARE/HOSP-BASED
  • NM Other: NM007612 HOSPITAL-BASED

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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