Organization · Type 2 NPI

Presbyterian Medical Services

Federally Qualified Health Center (FQHC) · Ojo Encino, NM

NPI number 1023186707 Active

Practice location

2 Ojo Encino Chapter Rd
Ojo Encino, NM 87013

Call (505) 731-2268 Map

Fax (505) 731-2379

Mailing address

PO Box 2267
Santa Fe, NM 87504-2267

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	1023186707 (NM)
Non-Pharmacy Dispensing Site	332900000X	CL00007174 (NM)

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1023186707
Entity type: Organization (Type 2)
Issued: Dec 1, 2006
Last updated: Jan 9, 2021
Status: Active

Other names

<unavail>
Ojo Encino Navajo Clinic · doing business as
Ojo Encino Navajo Clinic · doing business as

Authorized official

Doug Smith
Executive Vice President
(505) 992-5565

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023186707

Presbyterian Medical Services's National Provider Identifier is 1023186707, issued on Dec 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ojo Encino, NM. The record was last updated on Jan 9, 2021.