Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Rio Rancho Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBERTA LEE (CFO)
(505) 982-5565
Entity
Organization
Contact information
Practice address
184 UNSER BLVD, RIO RANCHO, NM 87124-1058
(505) 896-0928
(505) 896-0585
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)
Primary
6613
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J4492
—
NM
Enumeration date
08/13/2006
Last updated
12/13/2007
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