Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
LOVING HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEE (CFO)
(505) 982-5565
Entity
Organization
Contact information
Practice address
602 S 4TH ST, LOVING, NM 88256-0491
(575) 745-3573
(575) 745-3550
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6317
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007330
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209651
OTHER ID NUMBER
—
05
—
50361
—
NM
Enumeration date
11/03/2006
Last updated
12/07/2011
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