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GALLUP COMMUNITY HEALTH
NPI 1336807254
Clinic/Center - Federally Qualified Health Center (FQHC) in Gallup, NM

Active since December 08, 2021
2111 COLLEGE DR, GALLUP, NM 87301(505) 397-5381(877) 396-1184 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 24, 2025, Dec 8, 2021 (2 updates tracked since 2021).

About Gallup Community Health NPPES

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

GALLUP COMMUNITY HEALTH (NPI 1336807254) is a healthcare organization registered as a federally qualified health center (fqhc) in Gallup, New Mexico and active in the NPI registry since December 2021. The organization lists Valory Wangler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336807254
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGALLUP COMMUNITY HEALTH
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 397-5381
Phone(505) 397-5381
Fax(877) 396-1184
Organization SubpartNo
Authorized OfficialValory WanglerCeo · (206) 861-5767
Enumeration DateDecember 8, 2021
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1336807254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
2111 COLLEGE DR, Gallup, NM 87301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gallup Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Gallup Community Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice7
Diagnostic Radiology5
Nurse Practitioner4
Clinical Psychologist1
Clinical Social Worker1
Infectious Disease1
Internal Medicine1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 23
Michelle Dearmond, APRN-CNP
Nurse Practitioner
NPI 1952074742
2111 COLLEGE DR
Gallup, NM 87301
(505) 863-1820
✔ PECOS✔ Accepts MedicareSame address
Constance Liu, MD
Obstetrics/Gynecology
NPI 1497066419
2111 COLLEGE DR
Gallup, NM 87301
(505) 397-5172
✔ PECOS✔ Accepts MedicareSame address
Erica Marquez, NP-C
Nurse Practitioner
NPI 1831614155
2111 COLLEGE DR
Gallup, NM 87301
(505) 397-5172
✔ PECOS✔ Accepts MedicareSame address
Teresa Mitchell, LMHC
Mental Health Counselor
NPI 1679389415
2111 COLLEGE DR
Gallup, NM 87301
(505) 397-5172
✔ PECOSSame address
Janene Vaughn, LCSW
Clinical Social Worker
NPI 1023947801
2111 COLLEGE DR
Gallup, NM 87301
(505) 397-5172
✔ PECOSSame address
Gerald Robertson, MD
Internal Medicine
NPI 1831161082
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES 2111 COLLEGE DRIVE
Gallup, NM 87301
(505) 863-1820
✔ PECOS✔ Accepts MedicareSame address
Christopher Hoover, M.D.
Urology
NPI 1982925673
1900 RED ROCK DR
Gallup, NM 87301
(505) 862-9143
✔ PECOS✔ Accepts Medicare0.2 mi
Sonya Shin, MD
Infectious Disease
NPI 1508822941
516 EAST NIZHONI BLVD.
Gallup, NM 87301
(505) 722-1000
✔ PECOS0.2 mi
Caitlynn Barney, NP
Nurse Practitioner
NPI 1912672791
516 E NIZHONI BLVD
Gallup, NM 87301
(505) 722-1000
✔ PECOS✔ Accepts Medicare0.3 mi
Jonathan Leggett, PHD
Clinical Psychologist
NPI 1831497783
303 S FIRST ST
Gallup, NM 87301
(505) 397-7197
✔ PECOS1.7 mi
Neil Jackson, M.D.
Family Practice
NPI 1598170193
2022 E AZTEC AVE
Gallup, NM 87301
(505) 397-5172
✔ PECOS✔ Accepts Medicare1.9 mi
Valory Wangler, MD
Family Practice
NPI 1457579963
21 B AVE
Zuni, NM 87327
(206) 861-5767
✔ PECOS✔ Accepts Medicare31 mi
Caleb Lauber, MD
Family Practice
NPI 1205802642
4901 LANG AVE NE
Albuquerque, NM 87109
(505) 842-8171
✔ PECOS✔ Accepts Medicare123 mi
Christian Mackey, MD MPH
Family Practice
NPI 1346935483
MSC09 5040 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-6607
✔ PECOS123 mi
Valerie Robertson, MD
Diagnostic Radiology
NPI 1134261944
7717 N HARTMAN LN
Tucson, AZ 85743
(520) 744-6121
✔ PECOS✔ Accepts Medicare256 mi
Steven Handler, DO
Diagnostic Radiology
NPI 1770544348
4175 S ALAMO AVE DEPT. OF RADIOLOGY
Tucson, AZ 85707
(520) 228-2870
✔ PECOS260 mi
Jason Chen
Family Practice
NPI 1932783396
1441 CONSTITUTION BLVD BLDG 400 3RD FLOOR
Salinas, CA 93906
(831) 755-4123
✔ PECOS✔ Accepts Medicare726 mi
Jessica Lucey, M.D.
Family Practice
NPI 1316397359
2500 ALHAMBRA AVE
Martinez, CA 94553
(925) 370-5200
✔ PECOS✔ Accepts Medicare763 mi
Sarah Llanque-White, ARNP
Nurse Practitioner
NPI 1922524933
15812 E INDIANA AVE
Spokane Valley, WA 99216
(509) 444-8200
✔ PECOS✔ Accepts Medicare946 mi
Rhonda Stewart, MD
Diagnostic Radiology
NPI 1346262532
3623 LATROBE DR STE 216
Charlotte, NC 28211
(704) 332-1291
✔ PECOS✔ Accepts Medicare1,572 mi
See all 23 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Health's NPI number?

The NPI number for Gallup Community Health is 1336807254. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Gallup Community Health located?

Gallup Community Health is located at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 397-5381.

What is Gallup Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Gallup Community Health enrolled in Medicare?

Yes. Gallup Community Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gallup Community Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 10 Medicare specialties reassign their Medicare billing to Gallup Community Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7), Diagnostic Radiology (5) and Nurse Practitioner (4). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gallup Community Health was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.