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Organization

PRESBYTERIAN HEALTHCARE SERVICES

Active
Other names
Presbyterian Home Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DALE MAXWELL (VP FINANCE/CFO DELIVERY SYSTEM)
(505) 923-5353
Entity
Organization

Contact information

Practice address
8100 CONSTITUTION PL NE, STE 400, ALBUQUERQUE, NM 87110-7643
(505) 823-8528
(505) 823-8555
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician
251E00000X
Home Health Agency
Primary
6532A2
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10897
NM
Enumeration date
12/19/2005
Last updated
08/08/2010
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