Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
QUAY COUNTY FAMILY 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
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(505) 461-2200
(505) 461-2213
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
3084
NM
332900000X
Non-Pharmacy Dispensing Site
CL00010180
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210882
OTHER ID NUMBER
—
05
—
87001284
—
NM
Enumeration date
11/28/2006
Last updated
01/09/2021
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