Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Tucumcari Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GARCIA (VP REGIONAL OPERATIONS)
(505) 923-5356
Entity
Organization
Contact information
Practice address
301 E MIEL DE LUNA AVE, TUCUMCARI, NM 88401-3810
(575) 461-7240
(575) 461-7245
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
—
—
251E00000X
Home Health Agency
Primary
6194A1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255606
PART B
NM
05
—
N1284
—
NM
Enumeration date
12/13/2005
Last updated
05/18/2011
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