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GALLUP MED FLIGHT LLC NPI 1154435238


NPI Information

NPI: 1154435238
Provider Name: GALLUP MED FLIGHT, LLC

Doing Business As: GALLUP MED FLIGHT

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

CLIA Number: 32D2125873

Address:
2111 W HISTORIC HIGHWAY 66
GALLUP, NM
ZIP 87301
Phone: (801) 619-4900
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GALLUP MED FLIGHT, LLC is an air transport ambulance in Gallup, NM. GALLUP MED FLIGHT, LLC NPI is 1154435238. The provider is registered as an organization entity type.
The provider Is Doing Business As Gallup Med Flight.

The provider's business location address is:

2111 W HISTORIC HIGHWAY 66
GALLUP, NM
ZIP 87301
Phone: (801) 619-4900
Fax: (801) 619-8077

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (877) 288-5340.

The CLIA number assigned to this NPI record is 32D2125873 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportNo
23416A0800XAmbulanceAir Transport06-00000788NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10551606MEDICAIDIOWA
2804824MEDICAIDARIZONA
3RB48OTHERNEW MEXICOBC'BS OF NM PROVIDER #
4XMTA05996MEDICAIDCALIFORNIA
5800185OTHERFEDERAL BLACK LUNG PROGRA
606023803MEDICAIDMICHIGAN
793272839MEDICAIDCOLORADO
8=========005MEDICAIDUTAH
9G1735MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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