Organization
PRESBYTERIAN HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GILLOCK PT (INPATIENT CLINICAL COORDINATOR)
(505) 841-1079
Entity
Organization
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1589
Mailing address
8619 QUAIL CREEK CT NE, ALBUQUERQUE, NM 87113-1731
(505) 856-6162
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2439
NM
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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