Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Plains Regional 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
2100 MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101
(505) 469-7577
(505) 769-7595
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
—
—
282NR1301X
Rural Acute Care Hospital
Primary
6050
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2251701
PART B
NM
Enumeration date
12/13/2005
Last updated
03/11/2014
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