# PRESBYTERIAN HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaseman Subacute and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982689865
- **Authorized official:** MR. DALE MAXWELL (CFO PRESBYTERIAN DELIVERY SYSTEM)
- **Authorized official phone:** (505) 923-5353

## Contact information

- **Practice address:** 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
- **Practice address phone:** (505) 291-2000
- **Practice address fax:** (505) 291-2834
- **Mailing address:** 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 |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 11/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | I1521 | — | NM |