Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Presbyterian Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE MAXWELL (VP FINANCE/CFO DELIVERY SYSTEM)
(505) 923-5353
Entity
Organization
Contact information
Practice address
8100 CONSTITUTION PL NE, SUITE 120, ALBUQUERQUE, NM 87110-7643
(505) 559-1122
(505) 559-6067
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
—
—
251G00000X
Community Based Hospice Care Agency
Primary
6529A1INPATIENT
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N2677
—
NM
Enumeration date
12/19/2005
Last updated
08/08/2010
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