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Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Presbyterian Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE MAXWELL (VP FINANCE/CFO DELIVERY SYSTEM)
(505) 923-5353
Entity
Organization
Contact information
Practice address
8100 CONSTITUTION PL NE, STE 400, ALBUQUERQUE, NM 87110-7643
(505) 823-8528
(505) 823-8555
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
Primary
6532A2
NM
Other
Enumeration date
12/19/2005
Last updated
08/08/2010
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