HASTAADI NEEZNADIIN DBA: GALLUP HEALTH NPI 1073138244

NPI Information

HASTAADI NEEZNADIIN DBA: GALLUP HEALTH is a community health clinic center in Gallup, NM. HASTAADI NEEZNADIIN DBA: GALLUP HEALTH NPI is 1073138244. The provider is registered as an organization entity type.

The provider's business location address is:

600 E COAL AVE
GALLUP, NM
ZIP 87301-006
Phone: (505) 726-9642
Fax: (505) 726-9642

The provider's authorized official is Scott Daniel Burgner .
The authorized official title is Director and has the following contact phone number (505) 726-7642.

The CLIA number assigned to this NPI record is 32D2133123 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 3/12/2024.

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:

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