Organization · Type 2 NPI
Presbyterian Healthcare Services
Rural Acute Care Hospital · Clovis, NM
NPI number
1629053509
Active
Practice location
2100 Martin Luther King Jr Blvd
Clovis, NM 88101
Fax (505) 769-7595
Mailing address
PO Box 26666, Provider Enrollment
Albuquerque, NM 87125-6666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Rural Acute Care Hospital Primary | 282NR1301X | 6050 (NM) |
Rural Acute Care Hospital: Definition to come...
Another provider at this address
About NPI 1629053509
Presbyterian Healthcare Services's National Provider Identifier is 1629053509, issued on Dec 13, 2005. The primary taxonomy on file is Rural Acute Care Hospital (282NR1301X), and the practice location is in Clovis, NM. The record was last updated on Mar 11, 2014.