GALLUP HEALTH COOPERATIVE (NPI# 1073138244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073138244 |
| Entity Type | Organization |
| Organization Name | GALLUP HEALTH COOPERATIVE |
| Practice Address |
600 E Coal Ave Gallup NM 87301-6006 |
| Practice Telephone | 5057269642 |
| Practice Fax Number | 5057269642 |
| Mailing Telephone | 5057269642 |
| Mailing Fax Number | 5057269642 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MR. SCOTT DANIEL BURGNER (DIRECTOR) |
| Authorized Official Telephone | 5057267642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GALLUP HEALTH COOPERATIVE | 600 E Coal Ave, Gallup, NM 87301-6006 |
| Street Address |
600 E COAL AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1508021627 | New Mexico Mountain Healthcare | Clinic/Center | 348 St. Rd. 4, San Ysidro, NM 87053 | 2008-07-29 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GALLUP HEALTH COOPERATIVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.