| NPI | 1225140783 |
|---|---|
| Doing Business As | WESTERN NM MED GRP- BH-GALLUP |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NM 6615) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-01-09 |