Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PHILLIP JOHNSTON NP (NURSE PRACTITIONER/ER)
(505) 823-8528
Entity
Organization
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 823-8528
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
CNP-02691
NM
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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