Organization
GALLUP INDIAN MEDICAL CENTER
Active
Parent organization
NURSING DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
NURSING DEPARTMENT
Authorized official
WINIFRED MORRIS-YAZZIE R.N. (REGISTERED NURSE)
(505) 722-1315
Entity
Organization
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1315
Mailing address
519 NIZHONI BOULAVARD, GALLUP, NM 87301
(505) 722-1315
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
R60069
NM
Other
Enumeration date
01/22/2008
Last updated
09/12/2008
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