Dhhs,phs,naihs,gallup Indian Medical Center
Skilled Nursing Facility in Gallup, NM. Organization (NPI-2).
NPI number1215106935
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1215106935
- Entity type
- Organization (NPI-2)
- Legal business name
- Dhhs,phs,naihs,gallup Indian Medical Center
- Organization subpart
- No
- Enumeration date
- Feb 27, 2008
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 9435 | – | Yes |
Other names
- Mckinley Manor (Doing Business As)
Practice location
224 Nizhoni BlvdGallup, NM 87301-5744
Phone 505-722-1000 · Fax 505-722-1310
Mailing address
Po Box 1337Gallup, NM 87305-1337
Phone 505-722-1000 · Fax 505-722-1310
Authorized official
Pamela Detsoi-Smiley
Chief Executive Officer
5057221000
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