Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Farmington Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
1001 W BROADWAY STE D&E, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 599-9351
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44933
—
NM
Enumeration date
08/13/2006
Last updated
01/11/2024
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