Presbyterian Medical Services

NPI #1225140783 in Gallup, New Mexico

Provider Information

NPI Number
1225140783
Entity Type
Organization
Organization Name
Presbyterian Medical Services
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 31, 2006
Last Updated
Jan 9, 2021

Practice Location

Address
2025 E AZTEC AVE
City
Gallup
ZIP Code
87301-4803
Phone
(505) 863-3828

Authorized Official

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

Specialties & Taxonomy Codes

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

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