Gallup Health Facilities LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1094 Issued in NM

Legal business name

GALLUP HEALTH FACILITIES LP

Practice address

3720 Church Rock St
Gallup, NM 87301-4572

Phone

(505) 722-2261

Fax

(505) 722-4732

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie L Collier

Title

Director of Reimbursement

Phone

(972) 931-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Red Rocks Care Center Doing business as

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1861745531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CHURCH ROCK ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014572",
            "telephone_number": "505-722-2261",
            "fax_number": "505-722-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP HEALTH FACILITIES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58939725",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rocks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gallup Cardiology PC
• Gallup Child and Family Counseling
• Gallup Community Health
• Gallup Dental Group
• Gallup Eye Group LLC
• Gallup Indian Med Center Pharmacy
• Gallup Indian Medical Center
• Gallup Indian Medical Center
• Gallup Limb and Brace Co Inc
• Gallup McKinley County Schools

• Skilled Nursing Facility in Gallup, NM
• Providers in Gallup, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.