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Organization
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
Active
Organization
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DETSOI-SMILEY CEO (CEO)
(505) 722-1000
Entity
Organization
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1310
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1310
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9335
NULL
Other
Enumeration date
05/02/2008
Last updated
02/12/2025
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