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DHHSPHSNAIHSGALLUP INDIAN MEDICAL CENTER NPI 1326217043


NPI Information

NPI: 1326217043
Provider Name: DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER

Doing Business As: LITTLE SISTERS OF THE POOR OF NEW MEXICO, INC.

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1900 MARK AVE
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
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DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER is an assisted living facility in Gallup, NM. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER NPI is 1326217043. The provider is registered as an organization entity type.
The provider Is Doing Business As Little Sisters Of The Poor Of New Mexico, Inc..

The provider's business location address is:

1900 MARK AVE
GALLUP, NM
ZIP 87301-822
Phone: (505) 722-1000
Fax: (505) 722-1310

The provider's authorized official is Bennie C Yazzie .
The authorized official title is Chief Executive Officer and has the following contact phone number (505) 722-1402.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 7/16/2008.


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
1310400000XAssisted Living Facility9435Yes

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
1HSZ003MEDICARE PINTEXAS

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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