PRESBYTERIAN MEDICAL SERVICES NPI 1811473978

NPI Information

  • NPI: 1811473978
  • Provider Name: PRESBYTERIAN MEDICAL SERVICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: LAGUNA-ACOMA TEEN HEALTH CENTER
  • Address: 282 CASA BLANCA RD
    CASA BLANCA, NM
    ZIP 87007
  • Phone: (505) 982-5565

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NPI Details

PRESBYTERIAN MEDICAL SERVICES is a clinic center in Casa Blanca, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRESBYTERIAN MEDICAL SERVICES NPI is 1811473978. The provider is registered as an organization entity type.
The provider Is Doing Business As Laguna-acoma Teen Health Center.

The provider's business location address is:

282 CASA BLANCA RD
CASA BLANCA, NM
ZIP 87007
Phone: (505) 982-5565

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 7/12/2018 and was last updated on 7/12/2018.

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
1261Q00000XClinic/CenterYes

What is NPI?

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

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