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GALLUP MED FLIGHT
NPI 1154435238
Ambulance - Air Transport in Gallup, NM

Active since August 18, 2006CLIA 32D2125873 · Waiver
2111 W HISTORIC HIGHWAY 66, GALLUP, NM 87301(801) 619-4900(801) 619-8077 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2018, Jul 21, 2017 (2 updates tracked since 2017).

About Gallup Med Flight NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GALLUP MED FLIGHT (NPI 1154435238) is a healthcare organization registered as an air transport in Gallup, New Mexico and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1154435238
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameGALLUP MED FLIGHT, LLC
Location Address2111 W HISTORIC HIGHWAY 66Gallup, NM 87301
Mailing Address10888 S 300 WSouth Jordan, UT 84095-4043 · (801) 619-4900 · Fax (801) 619-8077
Phone(801) 619-4900
Fax(801) 619-8077
Organization SubpartNo
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 3, 20182 updates tracked since enumeration
✔ NPI 1154435238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
License✔ Licensed in NM · 06-00000788
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
2111 W HISTORIC HIGHWAY 66, Gallup, NM 87301
Open in Google Maps ↗

Other Names 1

Doing Business AsGallup Med Flight

Other Identifiers 9

Medicaid0551606IA
Medicaid804824AZ
OtherRB48NM · Bc'bs Of Nm Provider #
MedicaidXMTA05996CA
Other800185Federal Black Lung Progra
Medicaid06023803MI
Medicaid93272839CO
Medicaid=========005UT
MedicaidG1735NM

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2125873

Gallup Med Flight · Gallup, NM
Active · expires Feb 13, 2027
CLIA Number32D2125873
Laboratory TypeAmbulance
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorJodine Shelly
Laboratory Phone(505) 863-4916
Laboratory LocationGallup Med Flight2111 West Hwy 66 Temp Space 1, Gallup, NM 87301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gallup Med Flight, LLC's NPI number?

The NPI number for Gallup Med Flight, LLC is 1154435238. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Gallup Med Flight.

Where is Gallup Med Flight, LLC located?

Gallup Med Flight, LLC is located at 2111 W Historic Highway 66, Gallup, NM 87301. The listed phone number is (801) 619-4900.

What is Gallup Med Flight, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Does Gallup Med Flight, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2125873) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gallup Med Flight, LLC was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.