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PRESBYTERIAN HEALTHCARE SERVICES NPI 1104802354


NPI Information

NPI: 1104802354
Provider Name: PRESBYTERIAN HEALTHCARE SERVICES

Doing Business As: PRESBYTERIAN MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 32D2243478

Address:
5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 823-8556
Get Directions

PRESBYTERIAN HEALTHCARE SERVICES is an internal medicine in Albuquerque, NM. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRESBYTERIAN HEALTHCARE SERVICES NPI is 1104802354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presbyterian Medical Group.

The provider's business location address is:

5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109-587
Phone: (505) 823-8556
Fax: (505) 823-8555

The provider's authorized official is Clay Holderman .
The authorized official title is Coo/cds and has the following contact phone number (505) 724-7283.

The CLIA number assigned to this NPI record is 32D2243478 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 8/30/2012.


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
1207Q00000XFamily MedicineNo
2207T00000XNeurological SurgeryNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6208VP0000XPain MedicinePain MedicineNo
7213E00000XPodiatristNo
8291U00000XClinical Medical LaboratoryNEW MEXICONo
9208600000XSurgeryNo
102085R0001XRadiologyRadiation OncologyNo
11261QU0200XClinic/CenterUrgent CareNo
12207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
13207R00000XInternal MedicineYes

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
1=========CMEDICARE PINNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.