Organization
ZAPPCARE QOF LLC
Active
Other names
ZappCare
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ATLAN (CHIEF EXECUTIVE OFFICER)
(626) 319-5445
Entity
Organization
Contact information
Practice address
801 BURKE DR, GALLUP, NM 87301-5413
(505) 300-2523
Mailing address
801 BURKE DR, GALLUP, NM 87301-5413
(505) 300-2523
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
163WH0500X
Hemodialysis Registered Nurse
—
—
207W00000X
Ophthalmology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/07/2021
Last updated
11/08/2021
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