Whalio Doctors

NPI 1053397497

Presbyterian Healthcare Services

Organisation Medicare Defined Swing Bed Hospital Unit Clovis, NM

Practice location

Address
2200 W 21st St, Clovis, NM 88101-2011
Phone
(505) 469-7577
Fax
(505) 769-7595
Mailing address
PO Box 26666 Provider Enrollment, Albuquerque, NM 87125-6666

Authorised official

Name
Mark Reifsteck
Title
Sr Vp Chief Operating Officer
Phone
(505) 841-1392

Registered specialties

Medicare Defined Swing Bed Hospital Unit Primary
Hospital Units Taxonomy 275N00000X Licence 59304 (NM)

Registry record

NPI
1053397497
Entity type
Organization
NPI issued
19 Dec 2005
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.