Ortiz Mountain Health Center

LBN: Presbyterian Medical Services
Ortiz Mountain Health Center is an health care organization with primary practice located at 06B Main St , Cerrillos NM 87010. 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) 470-6266, or through Lee, Roberta via phone (505) 982-5565.

Contact Information

Primary practice address
06B Main St Cerrillos NM 87010
Phone: (505) 470-6266
Fax: (505) 471-5861
Website:
Map and Directions
Authorized official contact:
Name: Lee, Roberta
Phone: (505) 982-5565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6515 New Mexico
Suppliers / Non-Pharmacy Dispensing Site 332900000X CL00007440 New Mexico

Profile Details

NPI number 1811064827
LBN Legal business name Presbyterian Medical Services
DBA Doing business as Ortiz Mountain Health Center
Authorized official Lee, Roberta
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 2nd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811064827 NPPES
Other 3209803 OTHER ID NUMBER
MEDICAID F4919 OTHER ID NUMBER

Popular Providers