Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Teen Health Center Santa Fe High School
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
2100 YUCCA ST, SANTA FE HIGH SCHOOL, SANTA FE, NM 87505-5456
(505) 467-2439
(505) 467-2989
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
CL00007506
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51672821
—
NM
Enumeration date
11/30/2006
Last updated
01/09/2021
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