CATHOLIC CHARITIES OF GALLUP (NPI# 1326103839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326103839 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF GALLUP |
| Other Organization Name | CASA SAN JOSE |
| Practice Address |
2595 W Highway 66 Grants NM 87020-9626 |
| Practice Telephone | 5052855451 |
| Practice Fax Number | 5052856436 |
| Mailing Telephone | 5052855451 |
| Mailing Fax Number | 5052856436 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY FRANCINE SCHUSTER (DIRECTOR) |
| Authorized Official Telephone | 5052855451 |
| Authorized Official Credential | RN CNM MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 5509 | NM | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Casa San Jose | Doing Business As Name - Organization |
| Street Address |
2595 W HIGHWAY 66 |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023484953 | Beth Armstead | Counselor | 2595 W Highway 66, Grants, NM 87020-9626 | 2015-08-14 |
| 1326371931 | Melissa A Leyba | Social Worker | 2595 W Highway 66, Grants, NM 87020-9626 | 2009-09-14 |
| 1588997191 | Rosalinda Soria | Licensed Practical Nurse | 2595 W Highway 66, Grants, NM 87020-9626 | 2009-09-14 |
| 1821321431 | Francine Schuster | Registered Nurse | 2595 W Highway 66, Grants, NM 87020-9626 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184990 | Shane Newsom | Contractor | 12300 Modesto Ave Ne, Albuquerque, NM 87122-2232 | 2020-04-27 |
| 1346872744 | Leonardo P Llamas | Contractor | 2327 Mcnutt Rd Ste C, Sunland Park, NM 88063-9566 | 2020-02-04 |
| 1972158327 | Caroline Telles | Contractor | 2929 Coors Blvd Nw Ste 307e, Albuquerque, NM 87120-1173 | 2019-08-02 |
| 1457834681 | Medical Practice Solutions | Contractor | 4501 Osuna Rd Ne, Albuquerque, NM 87109-4467 | 2018-09-13 |
| 1275067449 | Lorraine A Romo | Contractor | 10616 Teal Rd Sw, Albuquerque, NM 87121-8464 | 2017-04-14 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1700327293 | Lisa Grizzle | Contractor | 330 El Cerro Mission, Los Lunas, NM 87031 | 2017-03-16 |
| 1932646577 | Mark P Hogan | Contractor | 806 Delamar Ave Nw, Albuquerque, NM 87107-5122 | 2017-01-20 |
| 1629527478 | Jeanette Moore | Contractor | 7408 Estes Park Ave Nw, Albuquerque, NM 87114-3944 | 2016-09-21 |
| 1548717820 | Leanne Hands | Contractor | 1460 Los Lentes Rd Ne, Los Lunas, NM 87031-9311 | 2016-09-05 |
| 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.