PRESBYTERIAN MEDICAL SERVICES (NPI# 1922656404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922656404 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Practice Address |
199 Highway 50 Pecos NM 87552 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5057576482 |
| Practice Fax Number | 5057576968 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | DOUG SMITH (EXECUTIVE VP) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pecos Valley Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1740553734 | Presbyterian Medical Services | Clinic/Center | #50 County Road 13, Cuba, NM 87013 | 2012-02-22 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1821229931 | Presbyterian Medical Services | Counselor | 124 Unser Blvd, Rio Rancho, NM 87124 | 2009-08-06 |
| 1003977869 | Presbyterian Medical Services | Hospice Care, Community Based | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-13 |
| 1760540553 | Presbyterian Medical Services | Clinic/Center | 8 Old Town Loop, Quemado, NM 87829 | 2006-12-05 |
| 1609944800 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2500 State Hwy 197, Torreon, NM 87013 | 2006-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRESBYTERIAN MEDICAL SERVICES | 1422 Paseo De Peralta, Santa Fe, New Mexico 87501 |
| Washington State Corporations | PRESBYTERIAN MEDICAL SERVICES | 906 W 2nd Ave Ste 100, Spokane, WA 99201-4540 |
| Colorado Business Entities | Presbyterian Medical Services | 1422 Paseo De Peralta, Santa Fe, NM 87501 |
| System for Award Management (SAM) Entities | PRESBYTERIAN MEDICAL SERVICES, INC. | 1422 Paseo De Peralta Bldg 1, Santa Fe, NM 87501-4391 |
| Street Address |
199 HIGHWAY 50 |
| City | PECOS |
| State | NM |
| Zip Code | 87552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671954 | Julastene Dyer-moore | Dentist | 199 Highway 50, Pecos, NM 87552 | 2011-04-10 |
| 1487291464 | Susan Sheldon Olive | Physician Assistant | 199 Highway 50, Pecos, NM 87552 | 2019-12-09 |
| 1972076172 | Dina Bowen | Registered Nurse | 199 Highway 50, Pecos, NM 87552-8755 | 2019-01-10 |
| 1730651340 | Joshua Brandon Trujillo | Peer Specialist | 199 Highway 50, Pecos, NM 87552 | 2018-12-20 |
| 1255803862 | Dianna Virginia Jaramillo | Peer Specialist | 199 Highway 50, Pecos, NM 87552-0710 | 2018-12-20 |
| 1467935593 | Casey Ann Applegate-aguilar | Counselor | 199 Highway 50, Pecos, NM 87552 | 2018-09-14 |
| 1528486800 | Claudia Quan | Dentist | 199 Highway 50, Pecos, NM 87552 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1437653060 | Caitlin Thomas | Nurse Practitioner | Pecos Valley Medical Center 199 Hwy 50, Pecos, NM 87552 | 2018-03-20 |
| 1609393636 | Graciella Liliana Valencia-varela | Behavior Technician | #03 West Chamisa Spur, 03, Pecos, NM 87552 | 2017-08-30 |
| 1497146690 | Scott Temple | Social Worker | 199 Nm Highway 50, Pecos, NM 87552 | 2015-02-10 |
| 1316267073 | Lida Valencia | Counselor | 199 Nm-50, Pecos, NM 87552 | 2010-06-04 |
| 1801927264 | Pecos Independent School District | Local Education Agency (LEA) | Pecos Independent School District, North Highway 63, Pecos, NM 87552 | 2007-03-08 |
| 1629150610 | Susan Upton Lovro | Physician Assistant | 3 Highway 50, #d, Pecos, NM 87552 | 2006-10-19 |
| 1730150178 | Lucien David Young | Internal Medicine | 199 Nm Hwy 50, Pecos, NM 87552 | 2006-02-01 |
| 1750854592 | Monica Jean Robbins | Massage Therapist | 62 South Main St, Pecos, NM 87552 | 2019-01-04 |
| 1164907010 | Behavior Analysis Services, Inc. | Behavioral Analyst | 14 Raven Ridge Road, Pecos, NM 87552 | 2018-09-26 |
| Find all providers in zip 87552 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 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.