NPI 1336124205
Presbyterian Healthcare Services
Practice location
- Address
- 1202 Highway 60 West, Socorro, NM 87801-3914
- Phone
- (505) 835-1140
- Fax
- (505) 835-8716
- Mailing address
- PO Box 26666 Provider Enrollment, Albuquerque, NM 87125-6666
Authorised official
- Name
- Victoria M Carmignani
- Title
- Regulatory Compliance
- Phone
- (505) 923-5356
Registered specialties (3)
Critical Access Hospital
Primary
Emergency Medicine Physician
Internal Medicine Physician
Registry record
- NPI
- 1336124205
- Entity type
- Organization
- NPI issued
- 13 Dec 2005
- Record last updated
- 10 Nov 2025
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.