<unavail> in Gallup, NM - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Student Health) in Gallup, New Mexico. The current practice location for is 1055 Rico St, Gallup, New Mexico. For appointments, you can reach them via phone at (505) 863-3821. The mailing address for is Po Box 2267, Santa Fe, New Mexico and phone number is (505) 982-5565.

is licensed to practice in New Mexico (license number 6437). The clinic also participates in the medicare program and its NPI number is 1669540076. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 863-3821.

Contact Information


	1055 Rico St Gallup NM 87301-8003
	(505) 863-3821
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1055 Rico St, Gallup, New Mexico
Authorized Official Name and Position	Doug Smith (EXECUTIVE VICE PRESIDENT)
Authorized Official Contact	5059825565
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565	1055 Rico St Gallup NM 87301-8003 Ph: (505) 863-3821

NPI Details:

NPI Number	1669540076
Provider Enumeration Date	12/01/2006
Last Update Date	01/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	2062324684
Medicare Enrollment ID	O20100120000414

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669540076	NPI	-	NPPES
50526	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QS1000X	Clinic/center - Student Health	6437 (New Mexico)	Primary

Reviews and Comments

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- Medicare Primary Care in Gallup, NM