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Contact Information

DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E. NIZHONI BLVD.
GALLUP, NM87301-1337
 Phone: 505-722-1000
 Fax: 505-722-1310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

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

NPI # 1225002322
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 02/15/2006
Last updated 02/12/2025 - More than a year ago
Identifiers
License # 9435
NM Medicaid H5670
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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