Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Presbyterian Medical Services Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 820-3447
Entity
Organization
Contact information
Practice address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1636
(505) 896-0928
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
Other
Enumeration date
01/08/2014
Last updated
01/09/2021
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