NPIMap

Organization Active NPI

NA'Nizhoozhi Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Gallup, NM
National Provider Identifier
1831243732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
5550 Issued in NM
Legal business name
NA'NIZHOOZHI CENTER, INC.
Practice address
2205 Boyd Ave
Gallup, NM 87301-7404
Phone
(505) 722-2177
Fax
(505) 722-5961
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ramond A. Daw, MA
Title
Executive Director
Phone
(505) 722-2177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5550 NM Primary

Addresses

Primary practice location

2205 Boyd Ave
Gallup, NM 87301-7404

Mailing address

2205 Boyd Ave
Gallup, NM 87301-7404
Phone (505) 722-2177

National Provider Directory

National Provider Directory
Tax ID family
NA'Nizhoozhi Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831243732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BOYD AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017404",
            "telephone_number": "505-722-2177",
            "fax_number": "505-722-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BOYD AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017404",
            "telephone_number": "505-722-2177",
            "fax_number": "505-722-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NA'NIZHOOZHI CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAW",
        "authorized_official_first_name": "RAMOND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-722-2177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": "5550",
            "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 Aug 22, 2020; 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.