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GALLUP INDIAN MEDICAL CENTER
NPI 1740452697
Clinic/Center - Dental in Gallup, NM

Active since April 01, 2008
516 NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000(505) 722-1310 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gallup Indian Medical Center NPPES

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

GALLUP INDIAN MEDICAL CENTER (NPI 1740452697) is a healthcare organization registered as a dental in Gallup, New Mexico and active in the NPI registry since April 2008. The organization lists Pamela Detsoi-smiley, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1740452697
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGALLUP INDIAN MEDICAL CENTER
Location Address516 NIZHONI BLVDGallup, NM 87301-5748
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000 · Fax (505) 722-1310
Phone(505) 722-1000
Fax(505) 722-1310
Organization SubpartNo
Authorized OfficialPamela Detsoi-smileyChief Executive Officer · (505) 722-1000
Enumeration DateApril 1, 2008
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1740452697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed · 9435
516 NIZHONI BLVD, Gallup, NM 87301
Open in Google Maps ↗

Other Identifiers 1

Other1507755NM · Ucc Group Number

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
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1790
SALLY CATHERINE KAUFMAN RN
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
NANCY DAVIS RN
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
MRS. JANET YAZZIE RN
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
MARLENE A. ARETINO RN
Registered Nurse (Critical Care Medicine)
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
FREDA M NEZ
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000
MRS. JACQUELINE DAVIS HUDSON RN
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 726-8549
KRISTEN NICOLE BURGETT RN
Registered Nurse
516 NIZHONI BLVD
GALLUP, NM 87301
McKinley County (505) 722-1000

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 Indian Medical Center's NPI number?

The NPI number for Gallup Indian Medical Center is 1740452697. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Gallup Indian Medical Center located?

Gallup Indian Medical Center is located at 516 Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Gallup Indian Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Gallup Indian Medical Center was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.