Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Carrizozo Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GARCIA (VP REGIONAL OPERATIONS)
(505) 923-5356
Entity
Organization
Contact information
Practice address
710 AVENUE E, CARRIZOZO, NM 88301-0008
(505) 648-2317
(505) 648-4113
Mailing address
710 AVENUE E, CARRIZOZO, NM 88301-0008
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
6075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47894
—
NM
Enumeration date
12/13/2005
Last updated
08/09/2010
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