Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Socorro General Hospital Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CARMIGNANI (COMPLIANCE)
(505) 923-5356
Entity
Organization
Contact information
Practice address
1202 HIGHWAY 60 BLDG E, SOCORRO, NM 87801-3914
(575) 835-8343
(575) 835-3986
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
—
—
251G00000X
Community Based Hospice Care Agency
Primary
6052
NM
Other
Enumeration date
12/19/2005
Last updated
11/08/2016
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