PRESBYTERIAN MEDICAL SERVICES NPI 1003984089

NPI Information

NPI: 1003984089
Provider Name: PRESBYTERIAN MEDICAL SERVICES

Doing Business As: TEEN HEALTH CENTER SANTA FE HIGH SCHOOL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2100 YUCCA ST
SANTA FE HIGH SCHOOL
SANTA FE, NM
ZIP 87505
Phone: (505) 467-2439
Get Directions

PRESBYTERIAN MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Santa Fe, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1003984089. The provider is registered as an organization entity type.
The provider Is Doing Business As Teen Health Center Santa Fe High School.

The provider's business location address is:

2100 YUCCA ST
SANTA FE HIGH SCHOOL
SANTA FE, NM
ZIP 87505-456
Phone: (505) 467-2439
Fax: (505) 467-2989

The provider's authorized official is Doug Smith .
The authorized official title is Executive Vice President and has the following contact phone number (505) 982-5565.

The CLIA number assigned to this NPI record is 32D1035516 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 1/9/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health	CL00007506	NEW MEXICO	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51672821	MEDICAID	NEW MEXICO

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: 4/28/2024

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