Healthcare Provider Details

I. General information

NPI: 1336220839
Provider Name (Legal Business Name): GILA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 N. RIDGE LOOP SILVER CITY,
SILVER CITY NM
88061-8806
US

IV. Provider business mailing address

1313 E 32ND ST
SILVER CITY NM
88061-7251
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-9708
  • Fax: 575-342-2953
Mailing address:
  • Phone: 575-538-4000
  • Fax: 505-538-2824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number6095
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number6095
License Number StateNM

VIII. Authorized Official

Name: ROBERT WHITAKER
Title or Position: CEO
Credential:
Phone: 575-538-4000