PRESBYTERIAN MEDICAL SERVICES NPI 1508246513

NPI Information

NPI: 1508246513
Provider Name: PRESBYTERIAN MEDICAL SERVICES
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: RUIDOSO BEHAVIORAL HEALTH CENTER
CLIA Number: 32D2147121
Address: 1400 SUDDERTH DR
RUIDOSO, NM
ZIP 88345
Phone: (575) 630-0571

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NPI Details

PRESBYTERIAN MEDICAL SERVICES is a mental health (including community mental health center) clinic center in Ruidoso, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1508246513. The provider is registered as an organization entity type.
The provider Is Doing Business As Ruidoso Behavioral Health Center.

The provider's business location address is:

1400 SUDDERTH DR
RUIDOSO, NM
ZIP 88345-103
Phone: (575) 630-0571
Fax: (575) 630-0574

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 32D2147121 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2015 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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 11/21/2025

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