Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
College of Santa Fe Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L RIEBSOMER (PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
1600 SAINT MICHAELS DR, LA SALLE HALL, ROOM 100, SANTA FE, NM 87505-7615
(505) 473-6574
(505) 473-6467
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
CL00010380
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL00010380
NM CLINIC LICENSE
NM
Enumeration date
11/28/2006
Last updated
08/22/2020
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