Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
NPI Number: | 1023186434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L RIEBSOMER (PRESIDENT) |
Mailing Address: | 3000 W Church St Carlsbad |
State: | NM US |
Postal Code: | 882203110 |
Phone Number: | 5052343319 |
Fax Number: | 5052343378 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | 6318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |