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NPI Code Detail

MEDICARE: PRESBYTERIAN HEALTHCARE SERVICES

MEDICARE: PRESBYTERIAN HEALTHCARE 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
1207P00000XEmergency Medicine Physician
2207R00000XInternal Medicine Physician
3282NC0060XCritical Access Hospital3011NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12255606OTHERNMPART B

General Provider Information

NPI Number : 1235115676
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : PO BOX 26666
Second Line : PROVIDER ENROLLMENT
City : ALBUQUERQUE
State : NM
Zip : 87125-6666
Country : US
Telephone Number : 505-923-5356
Fax Number : 505-923-5354
Provider Business Practice Location Address
First Line : 301 E MIEL DE LUNA AVE
Second Line :
City : TUCUMCARI
State : NM
Zip : 88401-3810
Country : US
Telephone Number : 505-461-0141
Fax Number : 505-461-1822
Authorized Official
Title or Position : VP REGIONAL OPERATIONS
Name : MR. ROBERT GARCIA
Credential :
Telephone Number : 505-923-5339
Provider Enumeration Date : 12/19/2005
Last Update Date : 08/09/2010

Similar Medicare Providers

1427033315 — PRESBYTERIAN HEALTHCARE SERVICES
Practice Location Address:
301 E MIEL DE LUNA AVE
TUCUMCARI, NM
88401-3810
Practice Phone: 575-461-7240
Practice Fax: 575-461-7245
1962488304 — PRESBYTERIAN HEALTHCARE SERVICES
Practice Location Address:
301 E MIEL DE LUNA AVE
TUCUMCARI, NM
88401-3810
Practice Phone: 505-461-0141
Practice Fax: 505-461-1822
1669431367 — ENRIQUE M BURSZTYN MD
Practice Location Address:
301 E MIEL DE LUNA AVE
TUCUMCARI, NM
88401-3810
Practice Phone: 800-841-4236
Practice Fax:
1881788271 — FRANK A VELAZQUEZ CRNA
Practice Location Address:
301 E MIEL DE LUNA AVE , DAN C. TRIGG MEM HOSP
TUCUMCARI, NM
88401-3810
Practice Phone: 575-461-7000
Practice Fax:
1487702874 — AMY ELIZABETH MCMULLEN DPT
Practice Location Address:
301 E MIEL DE LUNA AVE
TUCUMCARI, NM
88401-3810
Practice Phone: 505-461-7230
Practice Fax:
1649319088 — MS. GLENNA C ALLENBERG LPTA
Practice Location Address:
301 E MIEL DE LUNA AVE
TUCUMCARI, NM
88401-3810
Practice Phone: 505-461-7233
Practice Fax:

Directions to “PRESBYTERIAN HEALTHCARE SERVICES ” Practice Location

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