REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.; NPI #1720084999

Contact Information

REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.

1901 REDROCK DRIVE
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
Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved

Indicates primary specialty

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

NPI # 1720084999

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

Authorized official WAYNE GILLIS - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/22/2005

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

Identifiers

AK	Medicaid	HS432IP-HS432OP
AL	Medicaid	REH0038N
AR	Medicaid	112866105
AZ	Medicaid	020876
CA	Medicaid	XHSP33263/XHSP43263
CO	Medicaid	95200382
FL	Medicaid	905686600
GA	Medicaid	000348433X
IA	Medicaid	0718791
ID	Medicaid	002920700
NM	Medicaid	00000331
NM	Medicaid	00331
	Other	X002467	CHAMPUS / FACILITY
	Other	201078960	PRESBYTERIAN / FACILITY
NM	Other	NM000018	BCBS / FACILITY

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.

Contact Information

Specialty

Critical Access

Medicare Defined Swing Bed Unit

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

Reviews for REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.