Presbyterian Medical Services

NPI #1003984089 in Santa Fe, New Mexico

Provider Information

NPI Number
1003984089
Entity Type
Organization
Organization Name
Presbyterian Medical Services
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 30, 2006
Last Updated
Jan 9, 2021

Practice Location

Address
2100 YUCCA ST
Address 2
SANTA FE HIGH SCHOOL
ZIP Code
87505-5456
Phone
(505) 467-2439

Authorized Official

Name
DOUG SMITH
Title
EXECUTIVE VICE PRESIDENT
Phone
(505) 982-5565

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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