Gallup Quick Clinic PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GALLUP QUICK CLINIC PC

Practice address

1850 E Highway 66
Gallup, NM 87301-4955

Phone

(505) 722-9334

Fax

(505) 722-9352

NPI assigned

Aug 27, 2014

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Payne, MDNPI 1023033461

Title

Medical Director

Phone

(505) 327-4867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Lee Payne, M.D.

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1023033461
  Authorized official Same address or phone

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1063812089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014955",
            "telephone_number": "505-722-9334",
            "fax_number": "505-722-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014955",
            "telephone_number": "505-722-9334",
            "fax_number": "505-722-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP QUICK CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-327-4867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gallup McKinley County Schools
• Gallup McKinley County Schools
• Gallup Med Flight, LLC (Gallup Med Flight)
• Gallup Nursing & Rehabilitation LLC (Gallup Nursing & Rehabilitation)
• Gallup Outpatient Treatment Center
• Marci C Gambarota, MD
• Lauren Alexis Gamble, MS, CCC-SLP, CLC
• Ashley Dawn Gaona, RN
• Anna K Garcia, RN
• Mariah Garcia

• Primary Care Clinic/Center in Gallup, NM
• Providers in Gallup, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.