Whalio Doctors

NPI 1407898034

Presbyterian Medical Services

Organisation Federally Qualified Health Center (FQHC) Socorro, NM

Practice location

Address
1300 Enterprise, Socorro, NM 87801
Phone
(505) 835-4444
Fax
(505) 835-1010
Mailing address
PO Box 2267 Presbyterian Medical Svcs INC, Santa Fe, NM 87504

Authorised official

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

Registered specialties (3)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Non-Pharmacy Dispensing Site
Suppliers Taxonomy 332900000X
Pharmacy
Suppliers Taxonomy 333600000X Licence CL00010337 (NM)

Registry record

NPI
1407898034
Entity type
Organization
NPI issued
11 Jun 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.