| Organization Name: | PRESBYTERIAN HEALTHCARE SERVICES |
| NPI Number: | 1912324930 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BO BEAMES (VP RDS) |
| Mailing Address: | 471 Main St Corona |
| State: | NM US |
| Postal Code: | 88318 |
| Phone Number: | 5758491561 |
| Fax Number: | 5758491562 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |