PRESBYTERIAN MEDICAL SERVICES NPI 1588731582

NPI Information

PRESBYTERIAN MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in Questa, NM. PRESBYTERIAN MEDICAL SERVICES NPI is 1588731582. The provider is registered as an organization entity type.
The provider Is Doing Business As Questa Health Center.

The provider's business location address is:

2573 STATE HWY 522
QUESTA, NM
ZIP 87556
Phone: (575) 586-0315
Fax: (575) 586-0519

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 32D0716197 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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