# PRESBYTERIAN MEDICAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396124616
- **Authorized official:** AMANDA MARTINEZ (COMMUNITY SUPPORT WORKER)
- **Authorized official phone:** (505) 920-7973

## Contact information

- **Practice address:** 8109 TANGERINE PL NW, ALBUQUERQUE, NM 87120-5587
- **Practice address phone:** (505) 920-7973
- **Mailing address:** 8109 TANGERINE PL NW, ALBUQUERQUE, NM 87120-5587
- **Mailing address phone:** (505) 920-7973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015