# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Socorro General Hospital Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972589307
- **Authorized official:** VICTORIA CARMIGNANI (COMPLIANCE)
- **Authorized official phone:** (505) 923-5356

## Contact information

- **Practice address:** 1202 HIGHWAY 60 BUILDING E, SOCORRO, NM 87801
- **Practice address phone:** (575) 835-8343
- **Practice address fax:** (575) 835-3986
- **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 | — | — | — |
| 251E00000X | Home Health Agency | 6294 | NM | Yes |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 11/08/2016