REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.

Provider Demographics

• NPI: 1720084999
• Name: REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.
• Entity Type: Organization
• Organization Name: REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.
• Other - Org Name: RMCHCS HOSPITAL
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: BILL
• Authorized Official - Last Name: PATTEN
• Authorized Official - Phone: 505-863-7004
• Mailing Address - Street 1: 1901 REDROCK DRIVE
• Mailing Address - City: GALLUP
• Mailing Address - State: NM
• Mailing Address - Zip Code: 87301-5683
• Mailing Address - Country: US
• Mailing Address - Phone: 505-863-7000
• Practice Address - Street 1: 1901 REDROCK DRIVE
• Practice Address - City: GALLUP
• Practice Address - State: NM
• Practice Address - Zip Code: 87301-5683
• Practice Address - Country: US
• Practice Address - Phone: 505-863-7000
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: MCKINLEY CHRISTIAN HEALTH CARE SERVICES INC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2005-06-22
• Last Update Date: 2024-01-03

Provider Licenses

State	License ID	Taxonomies
		261QC0050X
NM	6267	282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QC0050X	Ambulatory Health Care Facilities	Clinic/Center	Critical Access Hospital
No	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AZ	020876	Medicaid
IA	0718791	Medicaid
NM	00000331	Medicaid
CO	95200382	Medicaid
AL	REH0038N	Medicaid
NM	00331	Medicaid
AR	112866105	Medicaid
FL	905686600	Medicaid
	X002467	Other	CHAMPUS / FACILITY
NM	NM000018	Other	BCBS / FACILITY
CA	XHSP33263/XHSP43263	Medicaid
AK	HS432IP-HS432OP	Medicaid
GA	000348433X	Medicaid
ID	002920700	Medicaid
	201078960	Other	PRESBYTERIAN / FACILITY
CO	95200382	Medicaid
ID	002920700	Medicaid
ID	002920700	Medicaid