| Presbyterian Medical Services | |
|
835 Spruce St C & D Espanola NM 87532-3455 | |
| (505) 747-7400 | |
| (505) 747-7403 |
| Full Name | Presbyterian Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 835 Spruce St, Espanola, 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: (505) 982-5565 | Presbyterian Medical Services 835 Spruce St C & D Espanola NM 87532-3455 Ph: (505) 747-7400 |
| NPI Number | 1306175922 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20170208000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306175922 | NPI | - | NPPES |
| 88855520 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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