NPI 1205902376

Presbyterian Medical Services

Organisation Federally Qualified Health Center (FQHC) Grants, NM

Practice location

Address: 1217 Bonita St, Grants, NM 87020-2103
Phone: (505) 287-2958
Fax: (505) 287-2403
Mailing address: PO Box 2267, Santa Fe, NM 87504-2267

Authorised official

Name: Doug Smith
Title: Executive Vice President
Phone: (505) 982-5565

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in New Mexico →

Non-Pharmacy Dispensing Site

Suppliers Taxonomy 332900000X Licence CL00007401 (NM)

Other Non-Pharmacy Dispensing Site providers in New Mexico →

Registry record

NPI: 1205902376
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 9 Jan 2021

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.