Socorro Community Health Cntr

LBN: Presbyterian Medical Services
Socorro Community Health Cntr is an health care organization with primary practice located at 1300 Enterprise , Socorro NM 87801. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Presbyterian Medical Services can be contacted via phone (505) 835-4444, or through Smith, Doug via phone (505) 982-5565.

Contact Information

Primary practice address
1300 Enterprise Socorro NM 87801
Fax: (505) 835-1010
Website:
Authorized official contact:
Name: Smith, Doug

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Mexico
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Pharmacy 333600000X CL00010337 New Mexico

Profile Details

NPI number 1407898034
LBN Legal business name Presbyterian Medical Services
DBA Doing business as Socorro Community Health Cntr
Authorized official Smith, Doug
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 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 1407898034 NPPES
Other 3211137 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 31637809 OTHER ID NUMBER-COMMERCIAL NUMBER

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