MEDICARE: PRESBYTERIAN MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1093117251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESBYTERIAN MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 2267
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87504-2267
Country	:	US
Telephone Number	:	505-982-5565
Fax Number	:	505-992-4990

Provider Business Practice Location Address
First Line	:	744 W ANIMAS ST
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-5617
Country	:	US
Telephone Number	:	505-327-4796
Fax Number	:	505-325-9113

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	DOUG SMITH
Credential	:
Telephone Number	:	505-954-2303

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	01/09/2021

Similar Medicare Providers

1316573884 — HEATHER L GARDENHIRE BA, LMT
Practice Location Address:

724 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-793-1760
Practice Fax:

1497897557 — MS. LYNNE G MURISON RN, CFNP
Practice Location Address:

744 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-327-4461
Practice Fax:

1710136726 — MS. TWILA BECENTI-FUNDARK LISW
Practice Location Address:

355 S. MILLER
FARMINGTON, NM
87401-5617

Practice Phone: 505-566-0515
Practice Fax:

1184957391 — LOVELACE HEALTH SYSTEMS INC. DBA S.E.D. MEDICAL LABORATORIES-FARMINGTO
Practice Location Address:

724 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-327-3637
Practice Fax:

1134585821 — MIDORI IZUMI
Practice Location Address:

744 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-326-9157
Practice Fax:

1932938958 — STEFANIE K SILVA
Practice Location Address:

724 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-215-9042
Practice Fax:

Directions to “PRESBYTERIAN MEDICAL SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.