| Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
| NPI Number: | 1245618503 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC WELCH (VP OF FINANCE) |
| Mailing Address: | 901 W Hickory St Deming |
| State: | NM US |
| Postal Code: | 880304046 |
| Phone Number: | 5058203466 |
| Fax Number: | 5059924990 |
| NPI Enumeration Date: | 05/07/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |