PRESBYTERIAN MEDICAL SERVICES (NPI# 1942650445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942650445 |
Entity Type | Organization |
Organization Name | PRESBYTERIAN MEDICAL SERVICES |
Other Organization Name | ESPANOLA FAMILY WELLNESS CENTER |
Practice Address |
1200 N Paseo De Onate Espanola NM 87532-2687 |
Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
Practice Telephone | 5057470081 |
Practice Fax Number | 5057470083 |
Mailing Telephone | 5059825565 |
Mailing Fax Number | 5059924990 |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-10-12 |
Authorized Official Name | MARC WELCH (VP OF FINANCE) |
Authorized Official Telephone | 5059825565 |
Authorized Official Credential | MR. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Espanola Family Wellness 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 |
1200 N PASEO DE ONATE |
City | ESPANOLA |
State | NM |
Zip Code | 87532-2687 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891928370 | Erena Manning | Counselor | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2009-08-31 |
1780216648 | Rickie Isaiah Fierro | Counselor | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2020-02-09 |
1851942650 | Elizabeth Lykins | Counselor | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2019-09-23 |
1669939195 | Frances A Abeyta | Counselor | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2019-02-20 |
1023545076 | Stephen Lynn Mason | Nurse Practitioner | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2017-05-20 |
1053715714 | Jennifer Paige Pierson | Counselor | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2014-10-09 |
1780961250 | Sherie Ann Montoya Csw | Case Manager/Care Coordinator | 1200 N Paseo De Onate, Espanola, NM 87532-2687 | 2011-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
Find all providers in zip 87532 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1871137042 | State of The Heart Recovery | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2019-10-31 |
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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.