Albuquerque
Organization Active NPI VA Clinic/Center · Gallup, NM
NPI 1477509172 · NPPES record last updated Oct 31, 2017
Key facts
- NPI
- 1477509172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- ALBUQUERQUE
- Practice address
- 2075 NM Hwy 602
Gallup, NM 87301-9998 - Phone
- (702) 341-3152
- NPI assigned
- May 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Albuquerque Vamc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
2075 NM Hwy 602
Gallup, NM 87301-9998
Mailing address
PO Box 89495
Cleveland, OH 44101-6495
Phone (702) 341-3152
Other names
- Gallup VA Clinic
Other providers in Gallup, NM
- Edwin Akwanga
- Relindis Mana Akwanga
- Hadith Alatorre
- Margot Albert
- Matilda Albidrez
- Donald Alexander
- Jacqueline Elaine Alexander
- Alma Julia Alford
- Kandace Alfred
- Aqueelah Ali
All providers in Gallup, NM · VA Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.