| Presbyterian Medical Services | |
|
610 N 5th St Gallup NM 87301-5306 | |
| (505) 863-3120 | |
| (505) 863-2961 |
| Full Name | Presbyterian Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 N 5th St, Gallup, New Mexico |
| Authorized Official Name and Position | Roberta Lee (CFO) |
| 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 Rmacy Santa Fe NM 87504-2267 Ph: () - | Presbyterian Medical Services 610 N 5th St Gallup NM 87301-5306 Ph: (505) 863-3120 |
| NPI Number | 1972670305 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20101014000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972670305 | NPI | - | NPPES |
| 3209675 | Other | OTHER ID NUMBER | |
| 50526 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007461 (New Mexico) | Secondary |
Gallup Quick Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Highway 66, Gallup, NM 87301 Phone: 505-722-9334 Fax: 505-722-9352 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 | |
David Mckenzie Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 | |
Heavenly Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 East Hill Avenue, Gallup, NM 87301 Phone: 505-722-6770 Fax: 505-722-6799 | |
New Mexico Vascular Consulting Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Nm Highway 564, Gallup, NM 87301 Phone: 505-542-0090 Fax: 520-542-0155 | |
Espes Est,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 E Aztec Ave, Gallup, NM 87301 Phone: 505-870-9647 |