DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER – NPI #1902875594
Clinic/Center

DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER is an AHC clinic located in TOHATCHI, NM. NPPES has assigned the NPI number 1902875594 to DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER on March 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP0904X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, Federal

The NPI profile was last updated on Feb 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER below.

NPI Profile for
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER

NPI Number
1902875594
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER
Primary location
007 CHOOSGAI DRIVE
TOHATCHI, NM 87325
Phone: (505) 722-1000 Fax: (505) 722-1310
Mailing address
PO BOX 1337
GALLUP, NM 87305-1337
Phone: (505) 722-1000 Fax: (505) 722-1310
Organization Subpart
No
Authorized Official
PAMELA DETSOI-SMILEY
CEO
Phone: (505) 722-1000
Updated
Certification Date
Feb 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ061135
medicaidNM06286518
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0904X
- Clinic/Center / Public Health, Federal (Primary)		 9435

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.