Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Corona Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BO BEAMES (VP REGIONAL DELIVERY SYSTEM)
(575) 835-8341
Entity
Organization
Contact information
Practice address
471 MAIN STREET, CORONA, NM 88318
(505) 849-1561
(505) 354-0056
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
3156
NM
Other
Enumeration date
12/13/2005
Last updated
04/23/2014
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