Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
NPI Number: | 1013021765 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L RIEBSOMER (PRESIDENT) |
Mailing Address: | 147 Mescalero Trl Ruidoso |
State: | NM US |
Postal Code: | 883456090 |
Phone Number: | 5052575189 |
Fax Number: | 5052573995 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 6774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |