CATHOLIC CHARITIES OF GALLUP — NPI 1326103839 (Licensed & Credentialed Contractor in GRANTS, NM)

CMS-1500 Box 24J / 33a • NPI

1326103839

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171W00000X

Licensed & Credentialed Contractor

Box 32 Service Location & ZIP+4

2595 W HIGHWAY 66, GRANTS, NM, 87020-9626

✓ 9-Digit EDI 837 ZIP+4 (87020-9626)

Practice Phone & Referral Fax

(505) 285-5451

Fax: (505) 285-6436

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1326103839 (CATHOLIC CHARITIES OF GALLUP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1326103839` (NPI-2 Organization / Facility)
Provider / Legal Name	CATHOLIC CHARITIES OF GALLUP
Plain-English Specialty	Licensed & Credentialed Contractor NUCC Code: `171W00000X` (Contractor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2595 W HIGHWAY 66, GRANTS, NM, 87020-9626
Practice Telephone / Fax	Tel: (505) 285-5451 \| Fax: (505) 285-6436
Administrative Mailing Address	2595 W HIGHWAY 66, GRANTS, NM, 87020-9626
Enumeration & Last Sync	Enumerated: 2006-12-26 \| CMS Record Updated: 2020-08-22
Authorized Official	MARY SCHUSTER (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2595 W HIGHWAY 66, GRANTS, NM, 87020-9626

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Plain-English Taxonomy & CMS Crosswalk (171W00000X)

What Does Taxonomy Code 171W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171W00000X translates to:
"Licensed & Credentialed Contractor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Contractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CATHOLIC CHARITIES OF GALLUP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171W00000X` — Contractor Plain English: Licensed & Credentialed Contractor	State: NM \| License: `5509` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CATHOLIC CHARITIES OF GALLUP (NPI #1326103839)