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Organization

TAOS HEALTH SYSTEMS INC HOLY CROSS

Active
Parent organization
TAOS HEALTH SYSTEMS INC HOLY CROSS
Other names
PROFESSIONAL BILLING SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAOS HEALTH SYSTEMS INC HOLY CROSS
Authorized official
JOSE GUEVARA (PFS DIRECTOR)
(575) 751-5705
Entity
Organization

Contact information

Practice address
1398 WEIMER RD, TAOS, NM 87571-6397
(575) 758-8549
(575) 751-3723
Mailing address
1398 WEIMER RD, TAOS, NM 87571-6397
(575) 758-8549
(575) 751-3723

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NM
207L00000X
Anesthesiology Physician
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
207R00000X
Internal Medicine Physician
Primary
NM
208M00000X
Hospitalist Physician
NM
282N00000X
General Acute Care Hospital
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00760
NM
01
2255321
MEDICARE PTAN
NM
05
45716
NM
Enumeration date
03/09/2009
Last updated
03/09/2009
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