Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Presbyterian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY POLAND (MANAGER)
(505) 923-5355
Entity
Organization
Contact information
Practice address
1100 CENTRAL SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 923-5354
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 823-8528
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
6022
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00109
—
NM
Enumeration date
12/20/2005
Last updated
05/09/2019
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