Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Grants Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
1217 BONITA ST, GRANTS, NM 87020-2103
(505) 287-2958
(505) 287-2403
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007401
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209687
OTHER ID NUMBER
—
05
—
43620
—
NM
Enumeration date
11/28/2006
Last updated
01/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us