Organization
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA DETSOI-SMILEY CEO (CEO)
(505) 722-1000
Entity
Organization
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(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
282N00000X
General Acute Care Hospital
Primary
9435
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H5670
—
NM
Enumeration date
02/15/2006
Last updated
02/12/2025
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