Gallup Teen Health Center | |
1055 Rico St Gallup NM 87301-8003 | |
(505) 863-3821 | |
Not Available |
Full Name | Gallup Teen Health Center |
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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 | Practice Location Address |
---|---|
Gallup Teen Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Gallup Teen Health Center 1055 Rico St Gallup NM 87301-8003 Ph: (505) 863-3821 |
NPI Number | 1669540076 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 01/09/2021 |
Medicare PECOS PAC ID | 2062324684 |
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Medicare Enrollment ID | O20100120000414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669540076 | NPI | - | NPPES |
50526 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 6437 (New Mexico) | Primary |
Gallup Quick Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Highway 66, Gallup, NM 87301 Phone: 505-722-9334 Fax: 505-722-9352 | |
Hastaadi Neeznadiin Dba: Gallup Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 E Historic Highway 66, Gallup, NM 87301 Phone: 505-726-9642 Fax: 505-726-9642 | |
Western Nm Med Grp- Bh-gallup Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 | |
David C. Mckenzie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 | |
Gallup Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1105 Susan Ave, Gallup, NM 87301 Phone: 206-861-5767 | |
Heavenly Health Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 East Hill Avenue, Gallup, NM 87301 Phone: 505-722-6770 Fax: 505-722-6799 |