| Hastaadi Neeznadiin Dba: Gallup Health | |
|
600 E Coal Ave Gallup NM 87301-6006 | |
| (505) 726-9642 | |
| (505) 726-9642 |
| Full Name | Hastaadi Neeznadiin Dba: Gallup Health |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 600 E Coal Ave, Gallup, New Mexico |
| Authorized Official Name and Position | Scott Daniel Burgner (DIRECTOR) |
| Authorized Official Contact | 5057267642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hastaadi Neeznadiin Dba: Gallup Health 600 E Coal Ave Gallup NM 87301-6006 Ph: (505) 726-9642 | Hastaadi Neeznadiin Dba: Gallup Health 600 E Coal Ave Gallup NM 87301-6006 Ph: (505) 726-9642 |
| NPI Number | 1073138244 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073138244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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