Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
DEMING HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEE (VP OF FINANCE)
(505) 982-5565
Entity
Organization
Contact information
Practice address
300 S DIAMOND AVE, DEMING, NM 88030-3752
(575) 546-4663
(575) 546-4844
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
3126
NM
332900000X
Non-Pharmacy Dispensing Site
CL00010267
NM
332900000X
Non-Pharmacy Dispensing Site
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211125
OTHER ID NUMBER
—
05
—
39850081
—
NM
Enumeration date
08/23/2006
Last updated
02/17/2011
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