Whalio Doctors

NPI 1962488304

Presbyterian Healthcare Services

Organisation Critical Access Hospital Tucumcari, NM

Practice location

Address
301 E Miel de Luna Ave, Tucumcari, NM 88401-3810
Phone
(505) 461-0141
Fax
(505) 461-1822
Mailing address
PO Box 26666 Provider Enrollment, Albuquerque, NM 87125-6666

Authorised official

Name
Dale Maxwell
Title
Cfo
Phone
(505) 923-5353

Registered specialties (3)

Critical Access Hospital Primary
Hospitals Taxonomy 282NC0060X Licence 3011 (NM)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Registry record

NPI
1962488304
Entity type
Organization
NPI issued
19 Dec 2005
Record last updated
7 Apr 2010

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.