# DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225002322
- **Authorized official:** MS. PAMELA DETSOI-SMILEY CEO (CEO)
- **Authorized official phone:** (505) 722-1000

## Contact information

- **Practice address:** 516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
- **Practice address phone:** (505) 722-1000
- **Practice address fax:** (505) 722-1310
- **Mailing address:** PO BOX 1337, GALLUP, NM 87305-1337
- **Mailing address phone:** (505) 722-1000
- **Mailing address fax:** (505) 722-1310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 9435 | NULL | Yes |
| 311Z00000X | Custodial Care Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 02/12/2025