| Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
| NPI Number: | 1003977869 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA LEE (CFO) |
| Mailing Address: | 608 Reilly Ave Farmington |
| State: | NM US |
| Postal Code: | 87401 |
| Phone Number: | 5053270301 |
| Fax Number: | 5053251330 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 01/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 6157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |