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

Active since December 08, 2021CLIA 32D2266511 · Microscopy
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: August 09, 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 holds a CLIA Microscopy certificate valid through September 30, 2027 and 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

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 for Provider-Performed Microscopy Procedures (PPMP) 32D2266511

Gallup Community Health Clinic · Gallup, NM
Active · expires Sep 30, 2027
CLIA Number32D2266511
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorValory E. Wangler
Laboratory Phone(505) 397-5172
Laboratory LocationGallup Community Health Clinic2111 College Dr, Gallup, NM 87301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
RAELYNN BENALLY
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172

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.

Does Gallup Community Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D2266511) is associated with this NPI, valid through September 30, 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 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 12 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.