Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Parent organization
PRESBYTERIAN HEALTHCARE SERVICES
Other names
Presbyterian Hospice of Northern New Mexico
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN HEALTHCARE SERVICES
Authorized official
KIMBERLY POLAND (MANAGER PROVIDER ENROLLMENT)
(505) 923-5355
Entity
Organization
Contact information
Practice address
1400 CHAMA AVE, SANTA FE, NM 87505
(505) 988-2211
(505) 772-7613
Mailing address
PHS PROVIDER ENROLLMENT, PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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