| Organization Name: | PRESBYTERIAN HEALTHCARE SERVICES |
| NPI Number: | 1184952368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT GARCIA (VP REGIONAL OPERATIONS) |
| Mailing Address: | 301 E Miel De Luna Ave Tucumcari |
| State: | NM US |
| Postal Code: | 884013810 |
| Phone Number: | 5754617240 |
| Fax Number: | 5754617245 |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1T3328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |