Active NPI
Hastaadi Neeznadiin Dba Gallup Health
- Community Health Worker
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- HASTAADI NEEZNADIIN DBA GALLUP HEALTH
- Practice address
- 1108 E Historic Highway 66
Gallup, NM 87301-5466 - Phone
- (505) 726-9642
- Fax
- (505) 726-9642
- NPI assigned
- Jun 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Daniel Burgner
- Title
- Director
- Phone
- (505) 726-9642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Medical Laboratory Technician | 246RM2200X | |||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
1108 E Historic Highway 66
Gallup, NM 87301-5466
Mailing address
1108 E Historic Highway 66
Gallup, NM 87301-5466
Phone (505) 726-9642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0016486 | Medicaid | NM |
Other names 2
- Gallup Health
- Gallup Health Cooperative
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2133123 | Hastaadi Neeznadiin Dba Gallup Health | Certificate of waiver | Jul 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
1108 E Historic Highway 66
Gallup, NM 87301
Phone (505) 726-9642
600 E Coal Ave
Gallup, NM 87301
Phone 5057269642700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Gallup, NM
- NPI 1952152514
-
- Community Health Worker
- Gallup, NM
- NPI 1598621278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1073138244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 E HISTORIC HIGHWAY 66",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015466",
"telephone_number": "505-726-9642",
"fax_number": "505-726-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 E HISTORIC HIGHWAY 66",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015466",
"telephone_number": "505-726-9642",
"fax_number": "505-726-9642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASTAADI NEEZNADIIN DBA GALLUP HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-12",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "BURGNER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "505-726-9642",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RM2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0016486",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gallup Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gallup Health Cooperative",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.