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Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Socorro General Hospital Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CARMIGNANI (COMPLIANCE)
(505) 923-5356
Entity
Organization
Contact information
Practice address
1202 HIGHWAY 60 BUILDING E, SOCORRO, NM 87801
(575) 835-8343
(575) 835-3986
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
6294
NM
Other
Enumeration date
12/19/2005
Last updated
11/08/2016
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