Organization · Type 2 NPI

Gallup Community Health

Federally Qualified Health Center (FQHC) · Gallup, NM

NPI number 1336807254 Active

Practice location

2111 College Dr
Gallup, NM 87301-5600

Fax (877) 396-1184

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Counseling Psychologist 103TC1900XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Behavior Technician 106S00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1336807254

Gallup Community Health's National Provider Identifier is 1336807254, issued on Dec 8, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gallup, NM. The record was last updated on Jul 31, 2025.