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Contact Information

PRESBYTERIAN HEALTHCARE SERVICES
1010 SPRUCE ST
ESPAÑOLA, NM87532-3456
 Phone: 505-753-7111
 Fax: 505-753-4438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRESBYTERIAN HEALTHCARE SERVICES

NPI # 1215912191
LBN Legal business name PRESBYTERIAN HEALTHCARE SERVICES
Authorized official CLAY HOLDERMAN - (VP REGIONAL OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2005
Last updated 11/08/2016 - About 10 years ago
Identifiers
NM License # 6624
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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