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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