Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
MAGDALENA AREA HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEE (CFO)
(505) 982-5565
Entity
Organization
Contact information
Practice address
801 10TH ST, MAGDALENA, NM 87825
(505) 854-3161
(505) 854-3160
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6768
NM
332900000X
Non-Pharmacy Dispensing Site
CL00007618
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210426
OTHER ID NUMBER
—
05
—
Z5896
—
NM
Enumeration date
11/03/2006
Last updated
04/03/2008
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