Counselor Navajo Clinic

LBN: Presbyterian Medical Services
Counselor Navajo Clinic is an health care organization with primary practice located at 9837 Us Highway 550 , Counselor NM 87018. 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) 568-4328, or through Smith, Doug via phone (505) 982-5565.

Contact Information

Primary practice address
9837 Us Highway 550 Counselor NM 87018
Fax: (505) 568-4308
Website:
Authorized official contact:
Name: Smith, Doug

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6611 New Mexico
Suppliers / Non-Pharmacy Dispensing Site 332900000X CL00007156 New Mexico

Profile Details

NPI number 1396824223
LBN Legal business name Presbyterian Medical Services
DBA Doing business as Counselor Navajo Clinic
Authorized official Smith, Doug
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396824223 NPPES
New Mexico MEDICAID 48322
New Mexico Other 3209550

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