DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER (NPI# 1245409960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245409960 |
| Entity Type | Organization |
| Organization Name | DHHS,PHS,NAIHS,GALLUP INDIAN MEDICAL CENTER |
| Other Organization Name | RED ROCK CARE CENTER |
| Practice Address |
3720 Church Rock St Gallup NM 87301-4572 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221310 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221310 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | BENNIE C YAZZIE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5057221402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 9435 | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Red Rock Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106935 | Dhhs,phs,naihs,gallup Indian Medical Center | Skilled Nursing Facility | 224 Nizhoni Blvd, Gallup, NM 87301-5744 | 2008-02-27 |
| 1548439268 | Dhhs,phs,naihs,gallup Indian Medical Center | General Acute Care Hospital | 1901 Red Rock Drive, Gallup, NM 87301-5683 | 2008-02-27 |
| 1326217043 | Dhhs,phs,naihs,gallup Indian Medical Center | Assisted Living Facility | 1900 Mark Ave, Gallup, NM 87301-4822 | 2008-02-27 |
| Street Address |
3720 CHURCH ROCK ST |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740235142 | Silverstone Healthcare of Gallup, LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2006-05-23 |
| 1578199824 | Gabe E. Perez | Occupational Therapy Assistant | 3720 Church Rock St, Gallup, NM 87301-4572 | 2020-03-19 |
| 1922633122 | Jewel Buenafe Sublay | Physical Therapist | 3720 Church Rock St, Gallup, NM 87301-4572 | 2020-03-08 |
| 1174080733 | Audra Ruth Hendrix | Occupational Therapist | 3720 Church Rock St, Gallup, NM 87301-4572 | 2019-03-01 |
| 1356820419 | 3720 Church Rock Street Operations LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2018-08-09 |
| 1861745531 | Gallup Health Facilities Lp | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2012-10-18 |
| 1952500100 | Red Rocks Nursing Operations, LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427393412 | Synergy Agency Services | Skilled Nursing Facility | 3509 Ciniza Dr, Gallup, NM 87301-4586 | 2012-12-03 |
| 1215106935 | Dhhs,phs,naihs,gallup Indian Medical Center | Skilled Nursing Facility | 224 Nizhoni Blvd, Gallup, NM 87301-5744 | 2008-02-27 |
| 1699720227 | Peak Medical Gallup, LLC | Skilled Nursing Facility | 306 E Nizhoni Blvd, Gallup, NM 87301-5794 | 2006-05-23 |
| 1740235142 | Silverstone Healthcare of Gallup, LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2006-05-23 |
| 1356820419 | 3720 Church Rock Street Operations LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2018-08-09 |
| 1861745531 | Gallup Health Facilities Lp | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2012-10-18 |
| 1952500100 | Red Rocks Nursing Operations, LLC | Skilled Nursing Facility | 3720 Church Rock St, Gallup, NM 87301-4572 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290623 | Michael P. Clements Md | Skilled Nursing Facility | 1096 Mechem Dr Ste G05, Ruidoso, NM 88345-7057 | 2019-11-22 |
| 1619447554 | Albuquerque Operations LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne # Na, Albuquerque, NM 87113-1689 | 2018-12-04 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
| 1821536087 | Renaissance Health Care LLC | Skilled Nursing Facility | 1610 N Renaissance Blvd Ne, Albuquerque, NM 87107-7047 | 2017-02-08 |
| 1609231448 | The Neighborhood In Rio Rancho | Skilled Nursing Facility | 900 Loma Colorado Blvd Ne, Rio Rancho, NM 87124-6511 | 2015-12-21 |
| 1720477847 | Julie Salcido | Skilled Nursing Facility | 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 | 2015-01-13 |
| 1003205188 | Brian Walker | Skilled Nursing Facility | 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 | 2015-01-13 |
| 1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
| 1619390333 | Rehab Suites At Las Estancias LLC | Skilled Nursing Facility | 3620 Las Estancias Drive Sw, Albuquerque, NM 87105 | 2014-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.