Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
QUESTA HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
2573 STATE HWY 522, QUESTA, NM 87556
(575) 586-0315
(575) 586-0519
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6182
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007177
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209586
OTHER ID NUMBER
—
05
—
47225
—
NM
Enumeration date
11/29/2006
Last updated
01/09/2021
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