Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
Plains Regional Medical Center Multi Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T POLAND (MANAGER PROVIDER ENROLMENT)
(505) 923-5355
Entity
Organization
Contact information
Practice address
2200 W 21ST ST, CLOVIS, NM 88101-2011
(575) 769-7577
(575) 769-7596
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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