NPIMap

Organization Active NPI

Gallup Indian Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Gallup, NM
National Provider Identifier
1285811208
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
R60069 Issued in NM
Legal business name
GALLUP INDIAN MEDICAL CENTER
Practice address
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1315
NPI assigned
Jan 22, 2008
Organization subpart
Yes
Parent organization
NURSING DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Winifred Morris-Yazzie, R.N.
Title
Registered Nurse
Phone
(505) 722-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X R60069 NM Primary

Addresses

Primary practice location

516 Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

519 Nizhoni Boulavard
Gallup, NM 87301
Phone (505) 722-1315

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one
Part of
McDonald Army Health Care Center

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1285811208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NIZHONI BOULAVARD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-722-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015748",
            "telephone_number": "505-722-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP INDIAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NURSING DEPARTMENT",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS-YAZZIE",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "505-722-1315",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NM",
            "license": "R60069",
            "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 Sep 12, 2008; 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.