DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER (NPI# 1902875594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902875594 |
| Entity Type | Organization |
| Organization Name | DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER |
| Other Organization Name | TOHATCHI HEALTH CENTER |
| Practice Address |
007 Choosgai Drive Tohatchi NM 87325 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221310 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221310 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | BENNIE C YAZZIE (ACTING CEO) |
| Authorized Official Telephone | 5057221000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
9435 | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 061135 | 05 | |
| NM | 06286518 | 05 |
| Other Name | Type Code |
|---|---|
| Tohatchi Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184890899 | Dhhs, Phs, Naihs, Gallup Indian Medical Center | Clinic/Center | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-05-02 |
| Street Address |
007 CHOOSGAI DRIVE |
| City | TOHATCHI |
| State | NM |
| Zip Code | 87325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881665 | Nilanthi Soori | Family Medicine | 007 Choosgai Drive, Tohatchi, NM 87325 | 2006-02-17 |
| 1033527155 | Emily H Nieto | Dentist | 007 Choosgai Drive, Tohatchi, NM 87325 | 2014-08-01 |
| 1962742809 | David Ryan Mcguire | Dentist | 007 Choosgai Drive, Tohatchi, NM 87325 | 2013-02-28 |
| 1033359252 | Shireen A. Ambersley | Nurse Practitioner | 007 Choosgai Drive, Tohatchi, NM 87325 | 2009-02-27 |
| 1427218767 | Joan Ayala | Registered Nurse | 007 Choosgai Drive, Tohatchi, NM 87325 | 2008-06-10 |
| 1306860234 | James Jenson Sidd Jr. | Dentist | 007 Choosgai Drive, Tohatchi Health Center, Tohatchi, NM 87325-1944 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780535 | Marnell Joy Becenti | Technician | N. Hwy 491 Mile Marker 23 .05 Miles West, Tohatchi, NM 87325 | 2019-09-30 |
| 1639725732 | John Jerome Fagel | Dentist | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2019-08-14 |
| 1962916866 | Lenora J Woody | Registered Nurse | 7 Chooshgai Drive, Po Box 142, Tohatchi, NM 87325 | 2017-11-30 |
| 1518117266 | Eva M. Benally | Dental Assistant | 07 Choosgai Dr., Tohatchi, NM 87325 | 2008-09-30 |
| 1184874836 | Carol T. Halona | Dental Assistant | 00 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1447400197 | Glorianne Natonabah | Dental Assistant | 07 Chooshgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1871787903 | Pamela Smiley | Registered Nurse | 07 Choosghi Drive, Tohatchi, NM 87325 | 2007-08-31 |
| 1891906517 | Robert H Fernando | Counselor | Manulito Street Building T006-013, Behavioral Health Services, Tohatchi, NM 87325 | 2007-05-24 |
| 1316052004 | Carrie Arviso | Pharmacist | 07 Choosgai, Tohatchi Health Clinic, Tohatchi, NM 87325 | 2006-08-20 |
| 1316051857 | William I Schuman | Pharmacist | 07 Choosgai Drive, Tohatchi, NM 87325 | 2006-08-19 |
| Find all providers in zip 87325 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538344965 | Marvin Denzel Call | Clinic/Center | 2178 Cattail Willow Ave Ne, Albuquerque, NM 87122-1023 | 2008-01-03 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1013011212 | Alamo Navajo Health Center | Clinic/Center | 30 Miles N of Hwy 60 On Hwy 169, Magdalena, NM 87825-0907 | 2006-09-11 |
| 1750388963 | Dulce Health Center | Clinic/Center | 500 North Mundo, Dulce, NM 87528-0187 | 2005-07-01 |
| 1952771750 | Santa Fe Indian Hospital | Clinic/Center | 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | 2015-10-06 |
| 1548597743 | Dhhs/ihs/aao/jsu/dulce Health Center | Clinic/Center | 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | 2009-11-09 |
| 1932221231 | Albuquerque Indian Health Center Pharmacy | Clinic/Center | 801 Vassar Dr Ne, Pharmacy Department, Albuquerque, NM 87106-2725 | 2007-04-06 |
| 1225150535 | Sandia Phs Health Center | Clinic/Center | 481 Sandia Loop, Bernalillo, NM 87004-7076 | 2007-04-06 |
| 1679614598 | Indian Health Service | Clinic/Center | 481 Sandia Loop, Pueblo of Sandia, Bernalillo, NM 87004-7076 | 2007-02-12 |
| 1851377667 | Indian Health Service | Clinic/Center | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2005-12-22 |
| Find all providers with the same taxonomy | ||||
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| 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.