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PRESBYTERIAN MEDICAL SERVICES NPI 1396824223


NPI Information

NPI: 1396824223
Provider Name: PRESBYTERIAN MEDICAL SERVICES

Doing Business As: COUNSELOR NAVAJO CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
9837 US HIGHWAY 550
COUNSELOR, NM
ZIP 87018
Phone: (505) 568-4328
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PRESBYTERIAN MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Counselor, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1396824223. The provider is registered as an organization entity type.
The provider Is Doing Business As Counselor Navajo Clinic.

The provider's business location address is:

9837 US HIGHWAY 550
COUNSELOR, NM
ZIP 87018
Phone: (505) 568-4328
Fax: (505) 568-4308

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 enumeration date for this NPI number is 11/2/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteCL00007156NEW MEXICONo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6611NEW 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
148322MEDICAIDNEW MEXICO
23209550OTHEROTHER ID NUMBER

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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