PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1508842758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508842758 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | COLFAX GENERAL LABORATORY |
| Practice Address |
615 Prospect Ave Springer NM 87747 |
| Mailing Address |
Po Box 458 Springer NM 87747-0458 |
| Practice Telephone | 5054833310 |
| Practice Fax Number | 5054833327 |
| Mailing Telephone | 5054833302 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2010-08-08 |
| Authorized Official Name | MR. ROBERT GARCIA (VP REGIONAL OPERATIONS) |
| Authorized Official Telephone | 5059235339 |
| 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 | 261QH0100X |
Clinic/Center Specialization: Health Service |
2005-089 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICRE PARE B | 500521006 | 01 |
| NM | 07726511 | 05 |
| Other Name | Type Code |
|---|---|
| Colfax General Laboratory | 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 |
| 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 |
| 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 |
615 PROSPECT AVE |
| City | SPRINGER |
| State | NM |
| Zip Code | 87747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1588890909 | South Central Colfax County Special Hospital District | Clinical Medical Laboratory | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1114903374 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1790225795 | Mesa Group LLC | Durable Medical Equipment & Medical Supplies | 308 Colbert Ave, Springer, NM 87747 | 2017-02-24 |
| 1831637636 | Bestcare Pharmacy Springer LLC | Pharmacy | 307 Maxwell Ave, #b, Springer, NM 87747 | 2017-02-01 |
| 1629233317 | El Centro Family Health | Clinic/Center | 502 4th Street, Springer, NM 87747 | 2008-07-23 |
| 1043393077 | Tony Pesavento | Pharmacy | 825 4th Street, Springer, NM 87747 | 2006-10-23 |
| 1215941380 | Patricia Anne Whitman | Nurse Practitioner | 200 Cimarron, Springer, NM 87747 | 2006-07-27 |
| 1447216619 | Jo Anne Jackson | Speech-Language Pathologist | 1401 8th St., Springer, NM 87747 | 2006-04-25 |
| 1174039754 | Petra Marie Laumbach | Registered Nurse | Po Box 308, Springer, NM 87747-0308 | 2017-12-19 |
| 1811099070 | Martin Trujillo | General Practice | 711 Second Street, Springer, NM 87747-0483 | 2006-09-01 |
| Find all providers in zip 87747 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1144676149 | Acuhealth Acupuncture, LLC | Clinic/Center | 511 W San Mateo Rd, Santa Fe, NM 87505-4027 | 2016-05-09 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1750687190 | Daves Health Services, LLC | Clinic/Center | 110 S Halagueno St, Carlsbad, NM 88220-5748 | 2011-02-02 |
| 1699079459 | Nm Health Care To You LLC | Clinic/Center | 4535 Schiff Trail, Silver City, NM 88061 | 2011-01-07 |
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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.