Organization
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
Active
Other names
Red Rock Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GILLIS (CEO)
(505) 863-7001
Entity
Organization
Contact information
Practice address
1900 RED ROCK DR, GALLUP, NM 87301-5682
(505) 863-7200
Mailing address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7358
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326258
ARIZONA AHCCCS
AZ
05
—
E9167
—
NM
Enumeration date
03/08/2019
Last updated
12/04/2024
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