Rehoboth McKinley Christian Health Care Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6267 Issued in NM

Legal business name

REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES

Practice address

1901 Redrock Dr
Gallup, NM 87301-5683

Phone

(505) 863-7000

Fax

(505) 726-6708

NPI assigned

Jan 10, 2007

Organization subpart

No

Name

Wayne Gillis

Title

Ceo

Phone

(505) 863-7001

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/7290ec87-8419-47fa-9f4c-2ce723e9fe8b/

• RMCHCS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2024.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1164572533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7000",
            "fax_number": "505-726-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 REDROCK DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015683",
            "telephone_number": "505-863-7000",
            "fax_number": "505-726-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-863-7001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "6267",
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z5147",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00331",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43851",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROV NUMBER",
            "identifier": "4899430003",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N4841",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46029",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMCHCS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RMCHCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red Rocks Nursing Operations, LLC
• Trudy R Redshirt, R.N.
• Jacqueline Evon Reed
• Timothy Peter Reed, RN
• Stacey L Reeves, RN
• Rehoboth McKinley Christian Health Care Services, Inc
• Rehoboth McKinley Christian Health Care Services, Inc
• Rehoboth McKinley Christian Health Care Services, Inc
• Rehoboth McKinley Christian Health Care Services, Inc
• Rehoboth McKinley Christian Health Care Services, Inc.

• All providers in Gallup, NM
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.