Gallup Teen Health Center

LBN: Presbyterian Medical Services
Gallup Teen Health Center is an health care organization with primary practice located at 1055 Rico St , Gallup NM 87301-8003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Presbyterian Medical Services can be contacted via phone (505) 863-3821, or through Smith, Doug via phone (505) 982-5565.

Contact Information

Primary practice address
1055 Rico St Gallup NM 87301-8003
Phone: (505) 863-3821
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Doug
Phone: (505) 982-5565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X 6437 New Mexico

Profile Details

NPI number 1669540076
LBN Legal business name Presbyterian Medical Services
DBA Doing business as Gallup Teen Health Center
Authorized official Smith, Doug
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jan 9th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669540076 NPPES
New Mexico MEDICAID 50526

Popular Providers