PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1053397497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053397497 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | CLOVIS SWING BED SNF |
| Practice Address |
2200 W 21st St Clovis NM 88101-2011 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054697577 |
| Practice Fax Number | 5057697595 |
| Mailing Telephone | 5058238528 |
| Mailing Fax Number | 5058238555 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK REIFSTECK (SR VP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5058411392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 59304 | NM | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PART B | 2251701 | 01 |
| Other Name | Type Code |
|---|---|
| Clovis Swing Bed SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1942615570 | Presbyterian Healthcare Services | Pharmacy | 2401 W. 21st St, Clovis, NM 88101 | 2014-06-23 |
| 1215913470 | Presbyterian Healthcare Services | Emergency Medicine | 1100 Central Se, Albuquerque, NM 87106-4930 | 2005-12-20 |
| 1508842758 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
| 1336125764 | Presbyterian Healthcare Services | Emergency Medicine | 1202 Highway 60 Bldg E, Socorro, NM 87801-3914 | 2005-12-19 |
| 1972589307 | Presbyterian Healthcare Services | Emergency Medicine | 1202 Highway 60 Building E, Socorro, NM 87801 | 2005-12-19 |
| 1295710176 | Presbyterian Healthcare Services | Emergency Medicine | 2217 Dillon, Clovis, NM 88101-9454 | 2005-12-13 |
| 1235114125 | Presbyterian Healthcare Services | Emergency Medicine | 710 Avenue E, Carrizozo, NM 88301-0008 | 2005-12-13 |
| 1750366639 | Presbyterian Healthcare Services | Emergency Medicine | 2217 Dillon Rd, Clovis, NM 88101-9454 | 2005-12-13 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESBYTERIAN HEALTHCARE SERVICES | 9521 San Mateo Blvd Ne, Albuquerque, NM 87113-2237 |
| Colorado Business Entities | PRESBYTERIAN HEALTHCARE SERVICES | 5901 Harper N E, Albuquerque, NM 87109 |
| Street Address |
2200 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649671918 | Lisa Candelaria | Nurse Practitioner | 2200 W 21st St, Clovis, NM 88101-2011 | 2014-09-05 |
| 1457781759 | Matthew Laumbach | Physician Assistant | 2200 W 21st St, Clovis, NM 88101-2011 | 2013-11-22 |
| 1073870432 | Raena Singh | Family Medicine | 2200 W 21st St, Clovis, NM 88101-2011 | 2012-04-23 |
| 1407086705 | Jaya D Bathina | Internal Medicine | 2200 W 21st St, Clovis, NM 88101-2011 | 2009-07-21 |
| 1043304413 | Arnel Anthony S Bobadilla | Internal Medicine | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594062 | Covenant Hospital Hobbs | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2020-10-01 |
| 1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
| 1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
| 1891208799 | Lea Regional Hospital LLC | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2017-11-14 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1083931109 | Miners Colfax Medical Center | Medicare Defined Swing Bed Unit | 203 Hospital Dr, Raton, NM 87740-2012 | 2010-04-29 |
| 1285811208 | Gallup Indian Medical Center | Medicare Defined Swing Bed Unit | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-01-22 |
| 1710196571 | Deming Hospital Corporation | Medicare Defined Swing Bed Unit | 900 W Ash St, Deming, NM 88030-4000 | 2007-05-21 |
| 1598899874 | Nor-lea Hospital District | Medicare Defined Swing Bed Unit | 1600 North Main, Lovington, NM 88260-2813 | 2007-03-16 |
| 1023146917 | Artesia General Hospital | Medicare Defined Swing Bed Unit | 702 N 13th St, Artesia, NM 88210-1166 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.