NPI 1972682425

Presbyterian Medical Services

Organisation Federally Qualified Health Center (FQHC) Magdalena, NM

Practice location

Address: 801 10th St, Magdalena, NM 87825
Phone: (505) 854-3161
Fax: (505) 854-3160
Mailing address: PO Box 2267, Santa Fe, NM 87504-2267

Authorised official

Name: Roberta Lee
Title: Cfo
Phone: (505) 982-5565

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 6768 (NM)

Other Clinic/Center providers in New Mexico →

Non-Pharmacy Dispensing Site

Suppliers Taxonomy 332900000X Licence CL00007618 (NM)

Other Non-Pharmacy Dispensing Site providers in New Mexico →

Registry record

NPI: 1972682425
Entity type: Organization
NPI issued: 3 Nov 2006
Record last updated: 3 Apr 2008

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.