GALLUP INDIAN MEDICAL CENTER
NPI 1285811208
Medicare Defined Swing Bed Unit in Gallup, NM

Q: What is Gallup Indian Medical Center's NPI number?

The NPI number for Gallup Indian Medical Center is 1285811208. It was assigned to this organization in the NPPES registry on January 22, 2008.

Q: What is Gallup Indian Medical Center's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Active since January 22, 2008CLIA Certified · 2 labs

516 NIZHONI BLVD, GALLUP, NM 87301(505) 722-1315 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gallup Indian Medical Center NPPES

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

GALLUP INDIAN MEDICAL CENTER (NPI 1285811208) is a healthcare organization registered as a medicare defined swing bed unit in Gallup, New Mexico and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Winifred Morris-yazzie, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1285811208

Entity TypeOrganization

Primary Taxonomy275N00000X

Legal Business NameGALLUP INDIAN MEDICAL CENTER

Location Address516 NIZHONI BLVDGallup, NM 87301-5748

Mailing Address519 Nizhoni BoulavardGallup, NM 87301 · (505) 722-1315

Phone(505) 722-1315

Organization SubpartYesParent: Nursing Department

Authorized OfficialWinifred Morris-yazzieRegistered Nurse · (505) 722-1315

Enumeration DateJanuary 22, 2008

Last NPPES UpdateSeptember 12, 2008

✔ NPI 1285811208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units

Taxonomy Code275N00000X

License✔ Licensed in NM · R60069

Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

516 NIZHONI BLVD, Gallup, NM 87301

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CLIA Laboratory Certificates CMS CLIA 2

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 32D2325166

Gallup Indian Medical Center - Mobile Health Unit · Gallup, NM

Active · expires Jun 8, 2027

CLIA Number32D2325166

Laboratory TypeMobile Laboratory

Certificate Effective DateJune 9, 2025

Certificate Expiration DateJune 8, 2027

Laboratory DirectorJennie Wei

Laboratory Phone(505) 409-8018

Laboratory LocationGallup Indian Medical Center - Mobile Health Unit516 E Nizhoni, Gallup, NM 87301

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 32D0536068

Gallup Indian Medical Center · Gallup, NM

Active · expires Jan 2, 2027

CLIA Number32D0536068

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorGeorge Brasinikas MD

Laboratory Phone(505) 722-1135

Laboratory LocationGallup Indian Medical Center516 E Nizhoni Boulevard 1st Floor South, Gallup, NM 87301

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARISA STELMAT

Registered Nurse