Organization · Type 2 NPI

Presbyterian Medical Services

Federally Qualified Health Center (FQHC) · Socorro, NM

NPI number 1407898034 Active

Practice location

1300 Enterprise
Socorro, NM 87801

Call (505) 835-4444 Map

Fax (505) 835-1010

Mailing address

PO Box 2267, Presbyterian Medical Svcs Inc
Santa Fe, NM 87504

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Non-Pharmacy Dispensing Site	332900000X	None listed
Pharmacy	333600000X	CL00010337 (NM)

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

NPI record

NPI: 1407898034
Entity type: Organization (Type 2)
Issued: Jun 11, 2006
Last updated: Jan 9, 2021
Status: Active

Other names

<unavail>
Socorro Community Health CNTR · doing business as
Socorro Community Health CNTR · 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 1407898034

Presbyterian Medical Services's National Provider Identifier is 1407898034, issued on Jun 11, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Socorro, NM. The record was last updated on Jan 9, 2021.