Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
NPI Number: | 1154493567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA L LEE (CFO) |
Mailing Address: | 1400 Chama Ave Santa Fe |
State: | NM US |
Postal Code: | 875053372 |
Phone Number: | 5059822211 |
Fax Number: | 5059861833 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 6062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |