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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Gallup, New Mexico. The current practice location for is 610 N 5th St, Gallup, New Mexico. For appointments, you can reach them via phone at (505) 863-3120. The mailing address for is Po Box 2267, Rmacy, Santa Fe, New Mexico and phone number is () -.

is licensed to practice in New Mexico (license number ). The clinic also participates in the medicare program and its NPI number is 1972670305. 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) 863-3120.

Contact Information


	610 N 5th St Gallup NM 87301-5306
	(505) 863-3120
	(505) 863-2961

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	610 N 5th St, Gallup, New Mexico
Authorized Official Name and Position	Roberta Lee (CFO)
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 Rmacy Santa Fe NM 87504-2267 Ph: () -	610 N 5th St Gallup NM 87301-5306 Ph: (505) 863-3120

NPI Details:

NPI Number	1972670305
Provider Enumeration Date	11/29/2006
Last Update Date	07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2062324684
Medicare Enrollment ID	O20101014000356

Medical Identifiers

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

Identifier	Type	State	Issuer
1972670305	NPI	-	NPPES
3209675	Other		OTHER ID NUMBER
50526	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(New Mexico)	Primary
332900000X	Non-pharmacy Dispensing Site	CL00007461 (New Mexico)	Secondary

Reviews and Comments

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- Medicare Primary Care in Gallup, NM