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PRESBYTERIAN MEDICAL SERVICES NPI 1972712875


NPI Information

NPI: 1972712875
Provider Name: PRESBYTERIAN MEDICAL SERVICES

Doing Business As: PROJECT SHIELD

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2015 E 12TH ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-8931
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PRESBYTERIAN MEDICAL SERVICES is a day training developmentally disabled services in Farmington, NM. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PRESBYTERIAN MEDICAL SERVICES NPI is 1972712875. The provider is registered as an organization entity type.
The provider Is Doing Business As Project Shield.

The provider's business location address is:

2015 E 12TH ST
FARMINGTON, NM
ZIP 87401-460
Phone: (505) 325-8931
Fax: (505) 326-7283

The provider's authorized official is Roberta Lee .
The authorized official title is Cfo and has the following contact phone number (505) 820-3466.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 12/13/2007.


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
1251C00000XDay Training, Developmentally Disabled ServicesCU00006339NEW 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
1D0834MEDICAIDNEW MEXICO

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: 11/14/2023

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