Presbyterian Medical Services

LBN: Presbyterian Medical Services
Presbyterian Medical Services is an health care organization with primary practice located at 835 Spruce St C & D, Espanola NM 87532-3455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Presbyterian Medical Services can be contacted via phone (505) 747-7400, or through Smith, Doug via phone (505) 982-5565.

Contact Information

Primary practice address
835 Spruce St C & D Espanola NM 87532-3455
Phone: (505) 747-7400
Fax: (505) 747-7403
Website:
Map and Directions
Authorized official contact:
Name: Smith, Doug
Phone: (505) 982-5565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1306175922
LBN Legal business name Presbyterian Medical Services
DBA Doing business as
Authorized official Smith, Doug
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2009
Last updated Jan 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306175922 NPPES
New Mexico MEDICAID 88855520

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