# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presbyterian Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215913470
- **Authorized official:** KIMBERLY POLAND (MANAGER)
- **Authorized official phone:** (505) 923-5355

## Contact information

- **Practice address:** 1100 CENTRAL SE, ALBUQUERQUE, NM 87106-4930
- **Practice address phone:** (505) 841-1234
- **Practice address fax:** (505) 923-5354
- **Mailing address:** PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
- **Mailing address phone:** (505) 823-8528
- **Mailing address fax:** (505) 823-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 6022 | NM | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 05/09/2019