# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESBYTERIAN HEALTHCARE SERVICES
- **Other names:** Presbyterian Home Healthcare of Northern New Mexico
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659832947
- **Legal business name:** PRESBYTERIAN HEALTHCARE SERVICES
- **Authorized official:** KIMBERLY POLAND (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (505) 923-5355

## Contact information

- **Practice address:** 1400 CHAMA AVE, SANTA FE, NM 87505
- **Practice address phone:** (505) 988-2211
- **Practice address fax:** (505) 772-7613
- **Mailing address:** PHS PROVIDER ENROLLMENT, 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 |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 03/28/2019