PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1235114125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235114125 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | CARRIZOZO HEALTH CENTER |
| Practice Address |
710 Avenue E Carrizozo NM 88301-0008 |
| Practice Telephone | 5056482317 |
| Practice Fax Number | 5056484113 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | MR. ROBERT GARCIA (VP REGIONAL OPERATIONS) |
| Authorized Official Telephone | 5059235356 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
6075 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 47894 | 05 |
| Other Name | Type Code |
|---|---|
| Carrizozo Health Center | 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 |
| 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 |
| 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 |
710 AVENUE E |
| City | CARRIZOZO |
| State | NM |
| Zip Code | 88301-0008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545142 | Brittany Leigh Henry | Nurse Practitioner | 710 Avenue E, Carrizozo, NM 88301 | 2020-07-07 |
| 1962510743 | Shimer S Carden | Family Medicine | 710 Avenue E, Carrizozo Health Center, Carrizozo, NM 88301 | 2006-08-29 |
| 1972526556 | Jamie D Goad | Dentist | 710 Avenue E, Carrizozo, NM 88301 | 2006-07-25 |
| 1417982141 | Melinda R Hall Hacker | Dentist | 710 Avenue E, Carrizozo, NM 88301 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700948999 | New Horizons Developmental Ctr Inc | Intermediate Care Facility, Mentally Retarded | 810 E Ave, Carrizozo, NM 88301 | 2006-12-14 |
| 1881775096 | Helping Hands of Lincoln County, Inc. | Home Health | 1006 B Avenue, Carrizozo, NM 88301 | 2006-10-17 |
| 1548474141 | New Horizons Casa Linda | Intermediate Care Facility, Mentally Retarded | 810 Avenue E, Carrizozo, NM 88301-0187 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548474141 | New Horizons Casa Linda | Intermediate Care Facility, Mentally Retarded | 810 Avenue E, Carrizozo, NM 88301-0187 | 2007-05-10 |
| 1700948999 | New Horizons Developmental Ctr Inc | Intermediate Care Facility, Mentally Retarded | 810 E Ave, Carrizozo, NM 88301 | 2006-12-14 |
| 1881775096 | Helping Hands of Lincoln County, Inc. | Home Health | 1006 B Avenue, Carrizozo, NM 88301 | 2006-10-17 |
| 1114545142 | Brittany Leigh Henry | Nurse Practitioner | 710 Avenue E, Carrizozo, NM 88301 | 2020-07-07 |
| 1962510743 | Shimer S Carden | Family Medicine | 710 Avenue E, Carrizozo Health Center, Carrizozo, NM 88301 | 2006-08-29 |
| 1972526556 | Jamie D Goad | Dentist | 710 Avenue E, Carrizozo, NM 88301 | 2006-07-25 |
| 1417982141 | Melinda R Hall Hacker | Dentist | 710 Avenue E, Carrizozo, NM 88301 | 2006-07-11 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1508021627 | New Mexico Mountain Healthcare | Clinic/Center | 348 St. Rd. 4, San Ysidro, NM 87053 | 2008-07-29 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
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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.