NPIMap

Organization Active NPI

City of Gallup

  • Land Ambulance
  • Gallup, NM
National Provider Identifier
1053994194
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF GALLUP
Practice address
1800 S Second St
Gallup, NM 87301-5838
Phone
(505) 722-4195
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Creech
Title
EMS Coordinator
Phone
(505) 863-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1800 S Second St
Gallup, NM 87301-5838

Mailing address

PO Box 1270
Gallup, NM 87305-1270
Phone (505) 863-1383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817000521 NM Part B Supplier - Ambulance Service Supplier 8325443203 Practice locations: Gallup, NM

National Provider Directory

National Provider Directory
Tax ID family
City of Gallup4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 Church Rock St
#3
Gallup, NM 87301
Phone (505) 863-1383

1800 S Second St
Gallup, NM 87301
Phone (505) 722-4195

1800 S Second St
#1
Gallup, NM 87301
Phone 505863138317383

911 W Lincoln Ave
#2
Gallup, NM 87301
Phone (505) 863-1383

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1053994194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873051270",
            "telephone_number": "505-863-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015838",
            "telephone_number": "505-722-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GALLUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "505-863-1383"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.