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

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X6348 (NM)
Non-Pharmacy Dispensing Site 332900000XCL00007280 (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.