Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Lincoln County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BO BEAMES (VP REGIONAL OPERATIONS)
(505) 923-5339
Entity
Organization
Contact information
Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(505) 257-7381
(505) 630-4233
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
—
—
282NC0060X
Critical Access Hospital
Primary
3199
NM
3416L0300X
Land Ambulance
3199
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521
—
NM
01
—
2256807
PART B
NM
Enumeration date
12/20/2005
Last updated
10/11/2016
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