Western Nm Med Group Gallop

Federally Qualified Health Center (FQHC) Accepts Medicare


  
  610 N 5th St, Gallup
New Mexico, 87301-5306

 505-863-3120    505-863-2961
Western Nm Med Group Gallop is a Federally Qualified Health Center (FQHC) in Gallup, New Mexico. This pharmacy is owned and operated by Presbyterian Medical Services. It is located at 610 N 5th St, Gallup and it's customer support contact number is 505-863-3120. The authorized person of Western Nm Med Group Gallop is Roberta Lee who is Cfo of the pharmacy and his contact number is 505-982-5565. Western Nm Med Group Gallop accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Western Nm Med Group Gallop is definition to come...


Pharmacy Details:
Western Nm Med Group Gallop type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Western Nm Med Group Gallop
Type: Federally Qualified Health Center (FQHC)
Location:610 N 5th St, Gallup,
New Mexico, 87301-5306
Phone:505-863-3120
Fax:505-863-2961
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Roberta Lee
Position: Cfo
Contact Number: 505-982-5565
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1972670305
NPI Enumeration Date: 29 Nov, 2006
NPI Last Update On: 21 Jul, 2022

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Western Nm Med Group Gallop are as mentioned below.
SpecializationLicense NumberStateStatus
Federally Qualified Health Center (FQHC) New MexicoPrimary
Non-pharmacy Dispensing Site CL00007461New MexicoSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
3209675OtherOther Id Number
50526MedicaidNew Mexico
Medicare Enrollment:
Western Nm Med Group Gallop is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
2062324684O20101014000356Presbyterian Medical ServicesPART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 2267, Rmacy
Santa Fe, New Mexico
Zip: 87504-2267
Phone Number: --
Fax Number: --
Patients can reach Western Nm Med Group Gallop at 610 N 5th St, Gallup, New Mexico or can call on customer care at 505-863-3120.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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