Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Corona Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BO BEAMES (VP RDS)
(575) 835-8700
Entity
Organization
Contact information
Practice address
471 MAIN ST, CORONA, NM 88318
(575) 849-1561
(575) 849-1562
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3156
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07773242
—
NM
Enumeration date
03/27/2014
Last updated
03/27/2014
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