MCKINLEY COUNTY
NPI 1063643237
Early Intervention Provider Agency in Gallup, NM

Active since August 05, 2009CLIA 32D0716658 · Waiver
207 W HILL AVE, GALLUP, NM 87301(505) 863-1400 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Early Intervention Provider Agency
  • CLIA Number: 32D0716658
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-31-2026

About MCKINLEY COUNTY

This page provides the complete NPI Profile along with additional information for Mckinley County, a provider established in Gallup, New Mexico operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1063643237 assigned on August 2009. The practitioner's primary taxonomy code is 252Y00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Tom Trujillo (County Manager)

NPI
1063643237 Verify this NPI
Provider Name
MCKINLEY COUNTY
Entity Type
Organization
Location Address
207 W HILL AVE GALLUP, NM 87301
Location Phone
(505) 863-1400
Mailing Address
PO BOX 70 GALLUP, NM 87305
Mailing Phone
(505) 863-1400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2009
Last Update Date
08-05-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TOM TRUJILLO

Authorized Official Title
COUNTY MANAGER
Authorized Official Phone
(505) 863-1400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D0716658
Facility Type
Other
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KEN L. HOFFMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mckinley County to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MCKINLEY COUNTY

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063643237, enumerated as an "organization" on August 05, 2009.

The provider is located at 207 W HILL AVE GALLUP, NM 87301 and the phone number is (505) 863-1400.

Early Intervention Provider Agency with taxonomy code 252Y00000X.