Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Plains Regional Medical Center Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T POLAND (MANAGER PROVIDER ENROLLMENT)
(505) 923-5355
Entity
Organization
Contact information
Practice address
2421 W 21ST ST STE B, CLOVIS, NM 88101-2006
(575) 769-7577
(575) 769-7856
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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