| Gallup Community Health | |
|
2111 College Dr Gallup NM 87301-5600 | |
| (505) 397-5381 | |
| (877) 396-1184 |
| Full Name | Gallup Community Health |
|---|---|
| Speciality | Family Medicine |
| Location | 2111 College Dr, Gallup, New Mexico |
| Authorized Official Name and Position | Valory Wangler (CEO) |
| Authorized Official Contact | 2068615767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallup Community Health 2111 College Dr Gallup NM 87301-5600 Ph: (505) 397-5381 | Gallup Community Health 2111 College Dr Gallup NM 87301-5600 Ph: (505) 397-5381 |
| NPI Number | 1336807254 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 3375926975 |
|---|---|
| Medicare Enrollment ID | O20220815001928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336807254 | NPI | - | NPPES |
| Provider Name | Gerald R Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831161082 PECOS PAC ID: 7012008154 Enrollment ID: I20070803000490 |
| Provider Name | Jonathan L Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831497783 PECOS PAC ID: 8527245349 Enrollment ID: I20140127000879 |
| Provider Name | Valory E Wangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457579963 PECOS PAC ID: 8022178698 Enrollment ID: I20170918000105 |
| Provider Name | Christopher Robert Vesely Hoover |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982925673 PECOS PAC ID: 7214169036 Enrollment ID: I20180814002216 |
| Provider Name | Neil Christopher Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598170193 PECOS PAC ID: 6608157730 Enrollment ID: I20190919003286 |
| Provider Name | Caleb R Lauber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205802642 PECOS PAC ID: 9739150871 Enrollment ID: I20200413003137 |
| Provider Name | Marcie R Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154752814 PECOS PAC ID: 6002195856 Enrollment ID: I20200601000371 |
| Provider Name | Michelle Dianne Dearmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952074742 PECOS PAC ID: 7618365727 Enrollment ID: I20211022000060 |
| Provider Name | Sarah M Llanque-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922524933 PECOS PAC ID: 0143596627 Enrollment ID: I20230522000628 |
| Provider Name | Erica Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831614155 PECOS PAC ID: 1759828940 Enrollment ID: I20240806001620 |
| Provider Name | Caitlynn Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912672791 PECOS PAC ID: 4688112873 Enrollment ID: I20240819004370 |
Synapse Integrated Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 S First St, Gallup, NM 87301 Phone: 505-397-7197 | |
Gallup Child And Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 W Mesa Ave, Gallup, NM 87301 Phone: 505-862-9776 | |
Four Corners Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Second St Ste A, Gallup, NM 87301 Phone: 507-722-2923 | |
Hozho Center For Personal Enhancement Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2915 W Historic Hwy 66 Room 1203, Gallup, NM 87301 Phone: 505-870-1483 Fax: 505-870-1483 | |
Santa Fe Recovery Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Aztec Ave, Gallup, NM 87301 Phone: 505-413-3447 |