Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Espanola Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GARCIA (VP REGIONAL OPERATIONS)
(505) 923-5339
Entity
Organization
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-3456
(505) 753-7111
(505) 753-4438
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
—
—
282NR1301X
Rural Acute Care Hospital
Primary
6090
NM
3416L0300X
Land Ambulance
6090
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265
—
NM
01
—
2252104
PART B
NM
Enumeration date
12/19/2005
Last updated
03/30/2010
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