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General NPI Number Information
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NPI Number | 1619094109
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Entity Type | Organization
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Legal Business Name | GILA REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1313 E 32ND ST
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City | SILVER CITY
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State | NM
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Zip | 88061
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Country | US
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Telephone | 505-538-4000
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Fax | 505-388-9847
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Provider Business Mailing Address
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Address Line | 1313 E 32ND ST
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City | SILVER CITY
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State | NM
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Zip | 88061-7251
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Country | US
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Telephone | 505-538-4000
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Fax | 505-388-9847
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Authorized Official
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Title or Position | CEO
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Name | ROBERT WHITAKER
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Credential |
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Telephone | 575-538-4098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 6095
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License Number State | NM
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