Organization
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
Active
Other names
Tohatchi Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DETSOI-SMILEY CEO (CEO)
(505) 722-1000
Entity
Organization
Contact information
Practice address
007 CHOOSGAI DRIVE, TOHATCHI, NM 87325
(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
261QP0904X
Federal Public Health Clinic/Center
Primary
9435
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061135
—
AZ
05
—
06286518
—
NM
Enumeration date
03/16/2006
Last updated
02/12/2025
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