Organization
GALLUP COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALORY WANGLER MD (CEO)
(206) 861-5767
Entity
Organization
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5381
(877) 396-1184
Mailing address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
07/31/2025
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