Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Cibola County Home Visiting Program
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
551 WASHINGTON AVE, GRANTS, NM 87020-2769
(505) 469-8459
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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