Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Cuba School Based 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
#50 COUNTY ROAD 13, CUBA, NM 87013
(575) 289-2082
(575) 289-2029
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
NM
Enumeration date
02/22/2012
Last updated
04/07/2022
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