Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
NPI Number: | 1205902376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA LEE (CFO) |
Mailing Address: | 1217 Bonita St Grants |
State: | NM US |
Postal Code: | 870202103 |
Phone Number: | 5052872958 |
Fax Number: | 5052872403 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | CL00007401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |