Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
WESTERN NM MEDICAL GROUP THOREAU
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VP)
(505) 982-5565
Entity
Organization
Contact information
Practice address
15 E NAVARRE, THOREAU, NM 87323
(505) 862-7417
(505) 443-8346
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007400
NM
Other
Enumeration date
11/29/2006
Last updated
12/03/2025
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