PRESBYTERIAN HEALTHCARE SERVICES


Address: 211 Sudderth Dr, Ruidoso, NM 88345-6002
Phone: 5752578200

PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1144843491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144843491
Entity Type Organization
Organization Name PRESBYTERIAN HEALTHCARE SERVICES
Practice Address 211 Sudderth Dr
Ruidoso
NM 88345-6002
Mailing Address Presbyterian Provider Enrollment
Po Box 26666
Albuquerque
NM 87125-6666
Practice Telephone 5752578200
Practice Fax Number 5756304237
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2020-05-21
Last Update Date 2020-05-21
Authorized Official Name KIMBERLY T POLAND (MANAGER, PROVIDER ENROLLMENT)
Authorized Official Telephone 5059235355
Is Organization Subpart Y
Parent Organization Name PRESBYTERIAN HEALTHCARE SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
NM 000521 05

Other Provider/Organization Names

Other Name Type Code
Lincoln County Medical Center SNF Doing Business As Name - Organization

Other Provider IDs and Locations

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
1053397497 Presbyterian Healthcare Services Medicare Defined Swing Bed Unit 2200 W 21st St, Clovis, NM 88101-2011 2005-12-19
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

Other Data Sources

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

Office Location

Street Address 211 SUDDERTH DR
City RUIDOSO
State NM
Zip Code 88345-6002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376545418 Michael David Noltensmeyer Nurse Anesthetist, Certified Registered 211 Sudderth Dr, Ruidoso, NM 88345-6002 2005-06-01
1285253682 Presbyterian Healthcare Services Medicare Defined Swing Bed Unit 211 Sudderth Dr, Ruidoso, NM 88345-6002 2020-04-15
1144791435 Michael Padilla Pharmacist 211 Sudderth Dr, Ruidoso, NM 88345-6002 2018-12-11
1932659000 Natalie Mcelhany Nurse Practitioner 211 Sudderth Dr, Ruidoso, NM 88345-6002 2016-10-12
1184170185 Francisco J Vargas Nava Emergency Medicine 211 Sudderth Dr, Ruidoso, NM 88345-6002 2016-08-30
1396802864 Presbyterian Healthcare Services Emergency Medicine 211 Sudderth Dr, Ruidoso, NM 88345-6002 2007-01-03
1932209822 Charles L Pfaff Radiology 211 Sudderth Dr, Ruidoso, NM 88345-6002 2006-09-22
1124039235 Lincoln County Radiology LLC Radiology 211 Sudderth Dr, Ruidoso, NM 88345 2006-08-11
1376552810 Paul S Gulbas Ophthalmology 211 Sudderth Dr, Ruidoso, NM 88345-6002 2006-08-05
1407890643 Bradford Lee Cambron Emergency Medicine 211 Sudderth Dr, Ruidoso, NM 88345-6002 2006-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295386373 Angela Louise Chavez Physical Therapy Assistant 143 El Paseo Road, Ruidoso, NM 88345 2019-09-20
1740744630 Aspen Creek Counseling, PC Community/Behavioral Health 212 Hidalgo St, Ruidoso, NM 88345 2019-01-25
1659729960 Clinical Counseling, Rebekah Stephens LLC Community/Behavioral Health 105 Socorro Circle, Ruidoso, NM 88345 2016-05-26
1013288208 Emily Jane Fleming Counselor 2904 Sudderth Dr, Ruidoso, NM 88345 2012-01-19
1376810572 Ronald Lee Annala Specialist 101 Annala Lane, Ruidoso, NM 88345 2011-11-17
1801171731 Felicia Yelena Fontenot Dentist 127 El Paso Road, Ruidoso, NM 88345 2011-10-11
1497072730 Richard G Leveque Counselor 206 Porr Dirve, Ruidoso, NM 88345 2010-04-27
1871827899 Delcia Maurice Gudgel Counselor 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 2009-09-23
1740413541 Yolanda Nelson Case Manager/Care Coordinator 208 Sudderth Dr, Ruidoso, NM 88345 2009-08-26
1164697280 Elizabeth Urban Candelaria Social Worker 1400 Sudderth Dr., Ruidoso, NM 88345 2008-04-29
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285253682 Presbyterian Healthcare Services Medicare Defined Swing Bed Unit 211 Sudderth Dr, Ruidoso, NM 88345-6002 2020-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053397497 Presbyterian Healthcare Services Medicare Defined Swing Bed Unit 2200 W 21st St, Clovis, NM 88101-2011 2005-12-19
1811594062 Covenant Hospital Hobbs Medicare Defined Swing Bed Unit 5419 N Lovington Hwy, Hobbs, NM 88240-9100 2020-10-01
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
1215005129 Phc-los Alamos Inc Medicare Defined Swing Bed Unit 3917 West Rd, Los Alamos, NM 87544-2275 2006-11-30
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Competitor

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City RUIDOSO
Zip Code 88345

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Dataset Information

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.

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