PRESBYTERIAN HEALTHCARE SERVICES


Address: 2217 Dillon, Clovis, NM 88101-9454
Phone: 5059235356

PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1295710176) 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) 1295710176
Entity Type Organization
Organization Name PRESBYTERIAN HEALTHCARE SERVICES
Other Organization Name PLAINS REGIONAL MEDICAL CENTER HOME HEALTHCARE
Practice Address 2217 Dillon
Clovis
NM 88101-9454
Mailing Address Po Box 26666
Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5059235356
Practice Fax Number 5059235354
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2005-12-13
Last Update Date 2014-03-11
Authorized Official Name MR. BO BEAMES (VP REGIONAL OPERATIONS)
Authorized Official Telephone 5059235339
Is Organization Subpart N

Taxonomy

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 251E00000X Home Health 6080 NM Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NM N4494 05

Other Provider/Organization Names

Other Name Type Code
Plains Regional Medical Center Home Healthcare 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
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

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 2217 DILLON
City CLOVIS
State NM
Zip Code 88101-9454

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861033375 Golden Bird Home Health Care, Inc Home Health 464 N Rogers Ave # 101, Clovis, CA 93611-0330 2019-10-05
1518277102 Sequoia Home Health Inc Home Health 900 Pollasky Ave, Clovis, CA 93612-2213 2010-10-15
1568604460 Healthpoint Home Health, Inc. Home Health 2137 Herndon Avenue, Suite 103, Clovis, CA 93611-6105 2009-03-24
1962568386 Ghaffari Medical Pharmacy Home Health 815 W 14th St, Clovis, NM 88101-5514 2006-12-29
1154748465 Omnia Healthcare LLC Home Health 755 N Peach Ave, Suite G3, Clovis, CA 93611-7247 2014-03-25
1144551698 Kindstar, Inc. Home Health 1801 W 21st St, Clovis, NM 88101-4023 2010-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790386977 Gina D Padilla Home Health 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 2020-11-04
1598365066 Ricelands Home Health Care and Hospice LLC Home Health 9215 Layton Ave Ne, Albuquerque, NM 87111-1335 2020-10-26
1205451887 Handson Home Care Home Health 352 Peaceful Meadows Dr Ne, Rio Rancho, NM 87144-4102 2020-06-10
1396368916 Hannah's Helping Hands, LLC Home Health 7033 Kalgan Rd. Ne, Rio Rancho, NM 87144 2020-05-19
1073135216 At Home Not Alone Care, LLC Home Health 3410 Anderson Ave Se Rear, Albuquerque, NM 87106-2408 2020-05-11
1396370383 Md Health Care LLC Home Health 8019 Edith Blvd Ne Ste 206, Albuquerque, NM 87113-1433 2020-03-10
1124650817 United One Home Care LLC Home Health 3321b Candelaria Rd Ne Ofc 320, Albuquerque, NM 87107-1908 2020-02-10
1316595184 Simplicity Home Health Care Home Health 7920 Mountain Rd Ne Ste B, Albuquerque, NM 87110-7800 2019-08-26
1952960817 Mary T Martinez Home Health 585 Osuna Rd Ne Ste F, Albuquerque, NM 87113-1084 2019-06-12
1689230658 Norma Araceli Ortega Home Health 9319 Starboard Rd Nw, Albuquerque, NM 87121-1968 2019-05-15
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Competitor

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City CLOVIS
Zip Code 88101

Improve Information

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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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