GALLUP COMMUNITY HEALTH

Participation, as filed

Participating

TRUE

Participation start date

1 July 2024

Certification date

2 February 2026

Record last edited

22 July 2026

Identifiers

340B ID

FQHCLA465

Entity type as filed

FQHCLA

Site ID

BPS-LAL-038648

Grant number

LALCS52988

NPI

1043697873 (NM), 1053855593 (NM), 1154752814 (NM), 1275087223 (NM), 1306215926 (NM), 1316397359 (NM), 1356313647 (NM), 1396751442 (NM), 1396774170 (NM), 1457579963 (NM), 1497066419 (NM), 1508822941 (NM), 1639841331 (NM), 1659734192 (NM), 1801864590 (NM), 1811547409 (NM), 1831161082 (NM), 1831497783 (NM), 1831614155 (NM), 1891496469 (NM), 1912672791 (NM), 1932783396 (NM), 1982925673 (NM)

2111 College Dr, Gallup NM 87301