PRESBYTERIAN HEALTHCARE SERVICES


Address: 2217 Dillon Rd, Clovis, NM 88101-9454
Phone: 5054697577

PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1750366639) 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) 1750366639
Entity Type Organization
Organization Name PRESBYTERIAN HEALTHCARE SERVICES
Other Organization Name PLAINS REGIONAL MEDICAL CENTER HOSPICE
Practice Address 2217 Dillon Rd
Clovis
NM 88101-9454
Mailing Address Po Box 26666
Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5054697577
Practice Fax Number 5057697595
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2005-12-13
Last Update Date 2014-03-11
Authorized Official Name MR. ROBERT GARCIA (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 251G00000X Hospice Care, Community Based 6399 NM Agencies

Other Provider/Organization Names

Other Name Type Code
Plains Regional Medical Center Hospice 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
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 RD
City CLOVIS
State NM
Zip Code 88101-9454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346705936 Samantha L Brady Physical Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2019-02-07
1699144683 Jerra Mcmath Physical Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2015-09-19
1679995625 Adam Westenhofer Occupational Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2014-01-10
1225466014 Wesly Barton Nurse Anesthetist, Certified Registered 2217 Dillon Rd, Clovis, NM 88101-9454 2013-10-15
1932533171 Jeffery Morgan Wilson Physical Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2013-08-23
1629342324 Luz Gonzales Occupational Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2012-02-28
1073816047 Nola Pawol Physical Therapist 2217 Dillon Rd, Clovis, NM 88101-9454 2010-12-14

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 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669021747 Sequoia Hospice, Inc Hospice Care, Community Based 55 Shaw Ave Ste 112, Clovis, CA 93612-3819 2019-09-10
1811238025 Falcon South Plains Hospice Lp Hospice Care, Community Based 2300 N Main St Ste 19a, Clovis, NM 88101-3575 2013-03-13

Providers in the same taxonomy and state

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
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Competitor

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City CLOVIS
Zip Code 88101

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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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