REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC; NPI #1689784506

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	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Body Imaging	2085B0100X
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Clinical Pathology/Laboratory Medicine	207ZP0105X	22	Physician/Pathology
Critical Access Hospital	261QC0050X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
General Acute Care Hospital	282N00000X	A0[7]	Hospital-General
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Pulmonary Disease	207RP1001X	11	Physician/Internal Medicine
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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

NPI Number 1689784506

LBN Legal business name REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC

Authorized official WAYNE GILLIS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

Last updated 12/04/2024 - More than a year ago

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 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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REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC

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

Reviews for REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC