# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PMG Northside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366362733
- **Authorized official:** KIMBERLY T POLAND (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (505) 923-5355

## Contact information

- **Practice address:** 5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
- **Practice address phone:** (505) 823-8200
- **Practice address fax:** (505) 823-8579
- **Mailing address:** PO BOX 26666, PO BOX 26666, ALBUQUERQUE, NM 87125-6666
- **Mailing address phone:** (505) 923-6770
- **Mailing address fax:** (505) 923-5354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2026
- **Last updated:** 07/16/2026