Organization
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC
Active
Other names
RMCHCS
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GILLIS (CEO)
(505) 863-7004
Entity
Organization
Contact information
Practice address
1901 REDROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
Mailing address
1901 REDROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
—
282N00000X
General Acute Care Hospital
6267
NM
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188707
—
AZ
05
—
46029
—
NM
01
—
CR0819/CT1912
RR MEDICARE/HOSP-BASED
—
01
—
NM007612
HOSPITAL-BASED
NM
01
—
X002467
CHAMPUS/HOSP-BASED
—
Enumeration date
08/30/2006
Last updated
12/04/2024
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