Organization · Type 2 NPI

Presbyterian Healthcare Services

Health Service Clinic/Center · Springer, NM

NPI number 1114903374 Active

Practice location

615 Prospect Ave
Springer, NM 87747

Fax (505) 483-3344

Mailing address

PO Box 26666, Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Health Service Clinic/Center Primary 261QH0100X2005-089 (NM)

Health Service Clinic/Center: Definition to come...

4 other providers at this address

Other health service clinic/center providers in Springer

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About NPI 1114903374

Presbyterian Healthcare Services's National Provider Identifier is 1114903374, issued on Dec 20, 2005. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Springer, NM. The record was last updated on Aug 8, 2010.