City of Gallup

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF GALLUP

Practice address

3700 Church Rock Street
Gallup, NM 87301-4572

Phone

(505) 863-1383

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Creech

Title

EMS Coorinator

Phone

(505) 863-1383

Specialties & licenses 1

Addresses

Tax ID family

City of Gallup4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• City of Gallup

  • Land Ambulance
  • Gallup, NM
  • NPI 1033943261
  NPD tax ID
• City of Gallup

  • Land Ambulance
  • Gallup, NM
  • NPI 1053994194
  NPD tax ID
• City of Gallup

  • Land Ambulance
  • Gallup, NM
  • NPI 1720813645
  NPD tax ID

Locations

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1902630957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CHURCH ROCK STREET",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014572",
            "telephone_number": "505-863-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GALLUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EMS COORINATOR",
        "authorized_official_telephone_number": "505-863-1383"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Machelle Christner, CNM
• Kristel Chua, RN
• City of Gallup
• City of Gallup
• City of Gallup
• Christine Ellen Claerr, RN
• Chelsea Emma Clark, RN
• Ernestine Clark, RN
• Guy Max Clark, RN
• Tammy Clark, RN

• Land Ambulance in Gallup, NM
• Providers in Gallup, NM by specialty
• Land Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.