Organization · Type 2 NPI
Presbyterian Medical Services
Federally Qualified Health Center (FQHC) · Estancia, NM
NPI number
1912016734
Active
Practice location
903 C N 5th St
Estancia, NM 87016
Fax (505) 384-2204
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 6348 (NM) |
| Non-Pharmacy Dispensing Site | 332900000X | CL00007280 (NM) |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1912016734
Presbyterian Medical Services's National Provider Identifier is 1912016734, issued on Aug 29, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Estancia, NM. The record was last updated on Jan 23, 2014.