Organization
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
Active
Other names
RMCHCS
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GILLIS (CEO)
(505) 863-7001
Entity
Organization
Contact information
Practice address
1901 REDROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
(505) 726-6708
Mailing address
1901 REDROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
(505) 726-6708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6267
NM
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00331
—
NM
05
—
43851
—
NM
05
—
46029
—
NM
01
—
4899430003
DME PROV NUMBER
NM
05
—
N4841
—
NM
05
—
Z5147
—
NM
Enumeration date
01/10/2007
Last updated
12/04/2024
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