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CAH321313-00 REHOBOTH MCKINLEY CHRISTIAN HOSPITAL (Active)
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Main Details
Name
REHOBOTH MCKINLEY CHRISTIAN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321313-00
Medicare Provider Number
321313
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
Rehoboth Mckinley Christian Health Services
wayne H Gillis, CEO
(505) 863-7004
Primary Contact
RMCHCS
curry clyde graham, CNO
(623) 693-1568
Addresses
Street Address
1901 RED ROCK DRIVE
GALLUP, NM 87301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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