Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Socorro Swing Bed SNF
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA M CARMIGNANI (REGULATORY COMPLIANCE)
(505) 923-5356
Entity
Organization
Contact information
Practice address
1202 HIGHWAY 60 WEST, SOCORRO, NM 87801-3914
(505) 835-1140
(505) 835-8716
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, 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
—
—
282NC0060X
Critical Access Hospital
Primary
3014
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255101
MEDICARE PART B
NM
Enumeration date
12/13/2005
Last updated
11/10/2025
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