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PRESBYTERIAN HEALTHCARE SERVICES NPI 1053397497


NPI Information

NPI: 1053397497
Provider Name: PRESBYTERIAN HEALTHCARE SERVICES

Doing Business As: CLOVIS SWING BED SNF

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
2200 W 21ST ST
CLOVIS, NM
ZIP 88101
Phone: (505) 469-7577
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PRESBYTERIAN HEALTHCARE SERVICES is a medicare defined swing bed unit in Clovis, NM. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PRESBYTERIAN HEALTHCARE SERVICES NPI is 1053397497. The provider is registered as an organization entity type.
The provider Is Doing Business As Clovis Swing Bed Snf.

The provider's business location address is:

2200 W 21ST ST
CLOVIS, NM
ZIP 88101-011
Phone: (505) 469-7577
Fax: (505) 769-7595

The provider's authorized official is Mark Reifsteck .
The authorized official title is Sr Vp Chief Operating Officer and has the following contact phone number (505) 841-1392.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed Unit59304NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12251701OTHERNEW MEXICOPART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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