| Presbyterian Medical Services | |
|
9837 Us Highway 550 Counselor NM 87018 | |
| (505) 568-4328 | |
| (505) 568-4308 |
| Full Name | Presbyterian Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 9837 Us Highway 550, Counselor, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presbyterian Medical Services Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Presbyterian Medical Services 9837 Us Highway 550 Counselor NM 87018 Ph: (505) 568-4328 |
| NPI Number | 1396824223 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20110216000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396824223 | NPI | - | NPPES |
| 48322 | Medicaid | NM | |
| 3209550 | Other | OTHER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6611 (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007156 (New Mexico) | Secondary |