MEDICARE: GILA REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	6095	NM
2	3416L0300X	Land Ambulance	6095	NM
3	251E00000X	Home Health Agency
4	282NC0060X	Critical Access Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	00NM00057	OTHER	NM	BCBS NEW MEXICO
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336220839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILA REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1313 E 32ND ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-7251
Country	:	US
Telephone Number	:	575-538-4000
Fax Number	:	505-538-2824

Provider Business Practice Location Address
First Line	:	3202 N. RIDGE LOOP
Second Line	:	SILVER CITY,
City	:	SILVER CITY
State	:	NM
Zip	:	88061-8806
Country	:	US
Telephone Number	:	575-388-9708
Fax Number	:	575-342-2953

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT WHITAKER
Credential	:
Telephone Number	:	575-538-4000

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	02/07/2025

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MEDICARE: GILA REGIONAL MEDICAL CENTER

Scope of Practice

Other Identifiers

General Provider Information

Similar Medicare Providers

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