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Organization

PRESBYTERIAN HEALTHCARE SERVICES

Active
Other names
Espanola Hospital Home Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLAY HOLDERMAN (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, 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
251E00000X
Home Health Agency
Primary
6624
NM

Other

Enumeration date
12/13/2005
Last updated
11/08/2016
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