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PRESBYTERIAN MEDICAL SERVICES NPI 1285646455


NPI Information

NPI: 1285646455
Provider Name: PRESBYTERIAN MEDICAL SERVICES

Doing Business As: FARMINGTON COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 32D0536188

Address:
1001 W BROADWAY STE D&E
FARMINGTON, NM
ZIP 87401
Phone: (505) 327-4796
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PRESBYTERIAN MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Farmington, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1285646455. The provider is registered as an organization entity type.
The provider Is Doing Business As Farmington Community Health Center.

The provider's business location address is:

1001 W BROADWAY STE D&E
FARMINGTON, NM
ZIP 87401-638
Phone: (505) 327-4796
Fax: (505) 599-9351

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 32D0536188 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 1/11/2024.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6001NEW 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
144933MEDICAIDNEW 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.