Organization · Type 2 NPI

Presbyterian Medical Services

Federally Qualified Health Center (FQHC) · Cloudcroft, NM

NPI number 1326115338 Active

Practice location

74 James Canyon Hwy
Cloudcroft, NM 88317

Call (505) 682-2542 Map

Fax (505) 682-3075

Mailing address

PO Box 2267
Santa Fe, NM 87504-2267

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	3033 (NM)
Non-Pharmacy Dispensing Site	332900000X	CL00007514 (NM)

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

NPI record

NPI: 1326115338
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Jan 9, 2021
Status: Active

Other names

<unavail>
Sacramento Mountain Medical Center · doing business as
Sacramento Mountain Medical Center · doing business as

Authorized official

Doug Smith
Executive Vice President
(505) 982-5565

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 1326115338

Presbyterian Medical Services's National Provider Identifier is 1326115338, issued on Nov 29, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cloudcroft, NM. The record was last updated on Jan 9, 2021.