# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PMG Rio Rancho High Resort 4100
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558287847
- **Authorized official:** KIMBERLY T POLAND (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (505) 923-5355

## Contact information

- **Practice address:** 4100 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5901
- **Practice address phone:** (505) 559-6400
- **Practice address fax:** (505) 559-6488
- **Mailing address:** PO BOX 26666, ALBUQUERQUE, NM 87125-6666
- **Mailing address phone:** (505) 923-5356
- **Mailing address fax:** (505) 923-5354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026
