| Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
| NPI Number: | 1003984089 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA LEE (CFO) |
| Mailing Address: | 2100 Yucca St Santa Fe High School Santa Fe |
| State: | NM US |
| Postal Code: | 875055456 |
| Phone Number: | 5054672439 |
| Fax Number: | 5054672989 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1000X |
| License Number: | CL00007506 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Student Health |
| Taxonomy Definition: | |