# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plains Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629053509
- **Authorized official:** MR. BO BEAMES (VP REGIONAL OPERATIONS)
- **Authorized official phone:** (505) 923-5339

## Contact information

- **Practice address:** 2100 MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101
- **Practice address phone:** (505) 469-7577
- **Practice address fax:** (505) 769-7595
- **Mailing address:** PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
- **Mailing address phone:** (505) 923-5356
- **Mailing address fax:** (505) 923-5354

## 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 | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | 6050 | NM | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 03/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2251701 | PART B | NM |