NPIMap

Organization Active NPI

McKinley County

  • Early Intervention Provider Agency
  • Gallup, NM
National Provider Identifier
1063643237
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MCKINLEY COUNTY
Practice address
207 W Hill Ave
Gallup, NM 87301-4615
Phone
(505) 863-1400
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Tom Trujillo
Title
County Manager
Phone
(505) 863-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

207 W Hill Ave
Gallup, NM 87301-4615

Mailing address

PO Box 70
Gallup, NM 87305-0070
Phone (505) 863-1400

National Provider Directory

National Provider Directory
Tax ID family
McKinley County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

207 W Hill Ave
Gallup, NM 87301
Phone (505) 863-1400

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1063643237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873050070",
            "telephone_number": "505-863-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HILL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014615",
            "telephone_number": "505-863-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "505-863-1400"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.