Provider Type Icon

GALLUP COMMUNITY HEALTH NPI 1336807254


NPI Information

NPI: 1336807254
Provider Name: GALLUP COMMUNITY HEALTH
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1105 SUSAN AVE
GALLUP, NM
ZIP 87301
Phone: (206) 861-5767
Get Directions

GALLUP COMMUNITY HEALTH is a family medicine in Gallup, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GALLUP COMMUNITY HEALTH NPI is 1336807254. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1105 SUSAN AVE
GALLUP, NM
ZIP 87301-919
Phone: (206) 861-5767

The provider's authorized official is Valory Wangler .
The authorized official title is Ceo and has the following contact phone number (206) 861-5767.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 12/8/2021.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.