Sacramento Mountain Medical Center
LBN: Presbyterian Medical Services
Sacramento Mountain Medical Center is an health care organization with primary practice located at 74 James Canyon Hwy , Cloudcroft NM 88317. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Non-Pharmacy Dispensing Site. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Presbyterian Medical Services can be contacted via phone (505) 682-2542, or through Smith, Doug via phone (505) 982-5565.
Contact Information
Primary practice address
74 James Canyon Hwy
Cloudcroft NM 88317
Phone: (505) 682-2542
Fax: (505) 682-3075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 3033 | New Mexico |
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | CL00007514 | New Mexico |
Profile Details
| NPI number | 1326115338 |
|---|---|
| LBN Legal business name | Presbyterian Medical Services |
| DBA Doing business as | Sacramento Mountain Medical Center |
| Authorized official | Smith, Doug |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326115338 | NPPES |
| New Mexico | MEDICAID | S7573 | |
| New Mexico | Other | 3209776 |
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