Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
TORREON NAVAJO CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
2500 STATE HWY 197, TORREON, NM 87013
(505) 731-2284
(505) 731-2381
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N/A
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007195
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209562
OTHER ID NUMBER
—
05
—
48439
—
NM
Enumeration date
12/04/2006
Last updated
01/09/2021
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