PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1336125764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336125764 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | SOCORRO GENERAL HOSPITAL HOSPICE |
| Practice Address |
1202 Highway 60 Bldg E Socorro NM 87801-3914 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5758358343 |
| Practice Fax Number | 5758353986 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | VICTORIA CARMIGNANI (COMPLIANCE) |
| 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 | 251G00000X | Hospice Care, Community Based | 6052 | NM | Agencies |
| Other Name | Type Code |
|---|---|
| Socorro General Hospital Hospice | 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 |
| 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 |
1202 HIGHWAY 60 BLDG E |
| City | SOCORRO |
| State | NM |
| Zip Code | 87801-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763059 | Kyra J Saavedra | Physical Therapist | 1200 Michigan St. Socorro High School, Socorro, NM 87801 | 2020-09-01 |
| 1982255634 | Cornerstone Christian Counseling | Community/Behavioral Health | 1894 Chaparal Loop, Socorro, NM 87801 | 2019-09-24 |
| 1093282022 | Lindsay Alice Mclaughlin | Nurse Practitioner | 1204 Us-60, Building D, Socorro, NM 87801 | 2018-10-29 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1114391273 | Jessica Braswell I | Counselor | 1200 Us-60, Soorro, NM 87801 | 2015-11-30 |
| 1700207537 | Megan Therese Weber | Specialist/Technologist | 1115 N California St., Socorro, NM 87801 | 2013-12-20 |
| 1376892190 | Berta Alicia Portillo | Massage Therapist | 313 Hilltop, Socorro, NM 87801 | 2012-09-07 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1164541272 | Caring Dental Center PC | Dentist | 824 Highway 60, Socorro, NM 87801 | 2007-03-28 |
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| Find all providers in zip 87801 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570332 | Nevaeh Hospice Inc. | Hospice Care, Community Based | 6200 Seagull St Ne, Albuquerque, NM 87109-2562 | 2020-08-31 |
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1952948739 | Encompass Health Hospice of The Southwest, LLC | Hospice Care, Community Based | 1990 E Lohman Ave Ste 121, Las Cruces, NM 88001-3172 | 2019-11-29 |
| 1720634165 | Luna Vista Hospice LLC | Hospice Care, Community Based | 901 Rio Grande Blvd Nw Ste F148, Albuquerque, NM 87104-2055 | 2019-08-12 |
| 1073070967 | Hospice of Mesilla Valley, LLC | Hospice Care, Community Based | 665 E University Ave Bldg 1, Las Cruces, NM 88005-3363 | 2019-02-27 |
| 1790268811 | Ironclad Hospice Care, LLC | Hospice Care, Community Based | 300 W Hill Ave Ste A1, Gallup, NM 87301-6364 | 2018-09-13 |
| 1447744974 | Safari Healthcare Associate | Hospice Care, Community Based | 2406 Wildwind Rd, Las Cruces, NM 88007-5503 | 2018-06-18 |
| 1831646652 | Labor of Love Home Health Services, LLC | Hospice Care, Community Based | 2504 Garfield Ave. Se Suite-5, Albuquerque, NM 87106 | 2016-09-09 |
| 1023476355 | Southwest Health Allegiance LLC | Hospice Care, Community Based | 3780 Foothills Rd, Suite B, Las Cruces, NM 88011-8276 | 2016-02-01 |
| 1548633563 | East Mountain Hospice LLC | Hospice Care, Community Based | 12126 Hwy 14 N Ste A, Cedar Crest, NM 87008-9406 | 2015-11-12 |
| 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.