| Presbyterian Medical Services | |
|
2500 State Hwy 197 Torreon NM 87013 | |
| (505) 731-2284 | |
| (505) 731-2381 |
| Full Name | Presbyterian Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 State Hwy 197, Torreon, 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 2500 State Hwy 197 Torreon NM 87013 Ph: (505) 731-2284 |
| NPI Number | 1609944800 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20101014000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609944800 | NPI | - | NPPES |
| 48439 | Medicaid | NM | |
| 3209562 | Other | OTHER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007195 (New Mexico) | Secondary |