| Native American Behavioral Health Services P.c. | |
|
1500 S Second St Ste A Gallup NM 87301-5898 | |
| (505) 722-2923 | |
| (505) 722-2961 |
| Full Name | Native American Behavioral Health Services P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 S Second St Ste A, Gallup, New Mexico |
| Authorized Official Name and Position | Richard K Laughter (PRESIDENT) |
| Authorized Official Contact | 5058796575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Behavioral Health Services P.c. 1500 S Second St Ste A Gallup NM 87301-5898 Ph: (505) 722-2923 | Native American Behavioral Health Services P.c. 1500 S Second St Ste A Gallup NM 87301-5898 Ph: (505) 722-2923 |
| NPI Number | 1366712283 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 5294165643 |
|---|---|
| Medicare Enrollment ID | O20200427000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366712283 | NPI | - | NPPES |
| Provider Name | Richard K Laughter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134135916 PECOS PAC ID: 0840294864 Enrollment ID: I20200406000270 |
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