Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Colfax Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GARCIA (VP REGIONAL OPERATIONS)
(505) 923-5339
Entity
Organization
Contact information
Practice address
615 PROSPECT AVE, SPRINGER, NM 87747
(505) 483-3300
(505) 483-3344
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
2005-089
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I 0274
—
NM
Enumeration date
12/20/2005
Last updated
08/08/2010
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