Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Socorro Community Health Cntr
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
1300 ENTERPRISE, SOCORRO, NM 87801
(505) 835-4444
(505) 835-1010
Mailing address
PO BOX 2267, PRESBYTERIAN MEDICAL SVCS INC, SANTA FE, NM 87504
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
332900000X
Non-Pharmacy Dispensing Site
—
—
333600000X
Pharmacy
CL00010337
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31637809
—
NM
01
—
3211137
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/11/2006
Last updated
01/09/2021
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