PRESBYTERIAN MEDICAL SERVICES NPI 1407898034

NPI Information

NPI: 1407898034
Provider Name: PRESBYTERIAN MEDICAL SERVICES
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: SOCORRO COMMUNITY HEALTH CNTR
Address: 1300 ENTERPRISE
SOCORRO, NM
ZIP 87801
Phone: (505) 835-4444

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NPI Details

PRESBYTERIAN MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Socorro, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1407898034. The provider is registered as an organization entity type.
The provider Is Doing Business As Socorro Community Health Cntr.

The provider's business location address is:

1300 ENTERPRISE
SOCORRO, NM
ZIP 87801
Phone: (505) 835-4444
Fax: (505) 835-1010

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 6/11/2006 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	332900000X	Non-Pharmacy Dispensing Site				No
2	333600000X	Pharmacy		CL00010337	NEW MEXICO	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		NEW MEXICO	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	31637809	MEDICAID	NEW MEXICO
2	3211137	OTHER		OTHER ID NUMBER-COMMERCIAL 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: 11/21/2025

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