GALLUP COMMUNITY HEALTH NPI 1336807254

NPI Information

NPI: 1336807254
Provider Name: GALLUP COMMUNITY HEALTH
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
CLIA Number: 32D2266511
Address: 2111 COLLEGE DR
GALLUP, NM
ZIP 87301
Phone: (505) 397-5381

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NPI Details

GALLUP COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Gallup, NM. 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:

2111 COLLEGE DR
GALLUP, NM
ZIP 87301-600
Phone: (505) 397-5381
Fax: (877) 396-1184

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 CLIA number assigned to this NPI record is 32D2266511 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/8/2021 and was last updated on 7/31/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	103T00000X	Psychologist		No
4	103TC1900X	Psychologist	Counseling	No
5	103TP0016X	Psychologist	Prescribing (Medical)	No
6	106S00000X	Behavior Technician		No
7	172V00000X	Community Health Worker		No
8	175T00000X	Peer Specialist		No
9	207Q00000X	Family Medicine		No
10	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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: 11/21/2025

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