PRESBYTERIAN MEDICAL SERVICES (NPI# 1003977869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003977869 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | NORTHWEST NEW MEXICO HOSPICE |
| Practice Address |
608 Reilly Ave Farmington NM 87401 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5053270301 |
| Practice Fax Number | 5053251330 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | ROBERTA LEE (CFO) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 6157 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L0031 | 05 |
| Other Name | Type Code |
|---|---|
| Northwest New Mexico Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1740553734 | Presbyterian Medical Services | Clinic/Center | #50 County Road 13, Cuba, NM 87013 | 2012-02-22 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1821229931 | Presbyterian Medical Services | Counselor | 124 Unser Blvd, Rio Rancho, NM 87124 | 2009-08-06 |
| 1760540553 | Presbyterian Medical Services | Clinic/Center | 8 Old Town Loop, Quemado, NM 87829 | 2006-12-05 |
| 1609944800 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2500 State Hwy 197, Torreon, NM 87013 | 2006-12-04 |
| 1669540076 | Presbyterian Medical Services | Clinic/Center | 1055 Rico St, Gallup, NM 87301-8003 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRESBYTERIAN MEDICAL SERVICES | 1422 Paseo De Peralta, Santa Fe, New Mexico 87501 |
| Washington State Corporations | PRESBYTERIAN MEDICAL SERVICES | 906 W 2nd Ave Ste 100, Spokane, WA 99201-4540 |
| Colorado Business Entities | Presbyterian Medical Services | 1422 Paseo De Peralta, Santa Fe, NM 87501 |
| System for Award Management (SAM) Entities | PRESBYTERIAN MEDICAL SERVICES, INC. | 1422 Paseo De Peralta Bldg 1, Santa Fe, NM 87501-4391 |
| Street Address |
608 REILLY AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821339987 | Joshua Bancroft | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1558602615 | Brittany Montoya | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1942466289 | Ruth Adele Burd | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2008-08-06 |
| 1104033539 | Wendy D Bircher | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2007-05-16 |
| 1326195769 | Pms Dba Roundtree Childrens' Development Services | Clinic/Center | 608 Reilly Ave, Farmington, NM 87499 | 2007-01-05 |
| 1518029644 | Presbyterian Medical Services | Home Health | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497735237 | Tender Care Hospice LLC | Hospice Care, Community Based | 1137 Heather Cir, Farmington, UT 84025-4305 | 2006-01-18 |
| 1992702757 | Trinity Home Health Services | Hospice Care, Community Based | 76 Batterson Park Rd, Farmington, CT 06032-2571 | 2005-07-07 |
| 1952306714 | Safe Harbor Hospice, Inc. | Hospice Care, Community Based | 206 Hyler Dr, Farmington, MO 63640-2985 | 2005-06-17 |
| 1013910348 | Basin Home Health Inc. | Hospice Care, Community Based | 200 N Orchard Ave, Farmington, NM 87401-6225 | 2005-05-31 |
| 1063810992 | Athena Home Health LLC | Hospice Care, Community Based | 135 South Rd, Farmington, CT 06032-2556 | 2014-12-09 |
| 1457642324 | Interim Healthcare of Hartford, Inc | Hospice Care, Community Based | 231 Farmington Ave, Farmington, CT 06032-1915 | 2011-04-27 |
| 1134367717 | Guardian Angel Home Health, Inc | Hospice Care, Community Based | 2800 Hutton Ave, Farmington, NM 87402-4560 | 2009-02-04 |
| 1811052194 | Trinity Home Health Services | Hospice Care, Community Based | 76 Batterson Park Rd, Farmington, CT 06032-2571 | 2006-12-27 |
| 1942304266 | Presbyterian Manors, Inc. | Hospice Care, Community Based | 500 Cayce St, Farmington, MO 63640-2910 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570332 | Nevaeh Hospice Inc. | Hospice Care, Community Based | 6200 Seagull St Ne, Albuquerque, NM 87109-2562 | 2020-08-31 |
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1952948739 | Encompass Health Hospice of The Southwest, LLC | Hospice Care, Community Based | 1990 E Lohman Ave Ste 121, Las Cruces, NM 88001-3172 | 2019-11-29 |
| 1720634165 | Luna Vista Hospice LLC | Hospice Care, Community Based | 901 Rio Grande Blvd Nw Ste F148, Albuquerque, NM 87104-2055 | 2019-08-12 |
| 1073070967 | Hospice of Mesilla Valley, LLC | Hospice Care, Community Based | 665 E University Ave Bldg 1, Las Cruces, NM 88005-3363 | 2019-02-27 |
| 1790268811 | Ironclad Hospice Care, LLC | Hospice Care, Community Based | 300 W Hill Ave Ste A1, Gallup, NM 87301-6364 | 2018-09-13 |
| 1447744974 | Safari Healthcare Associate | Hospice Care, Community Based | 2406 Wildwind Rd, Las Cruces, NM 88007-5503 | 2018-06-18 |
| 1831646652 | Labor of Love Home Health Services, LLC | Hospice Care, Community Based | 2504 Garfield Ave. Se Suite-5, Albuquerque, NM 87106 | 2016-09-09 |
| 1023476355 | Southwest Health Allegiance LLC | Hospice Care, Community Based | 3780 Foothills Rd, Suite B, Las Cruces, NM 88011-8276 | 2016-02-01 |
| 1548633563 | East Mountain Hospice LLC | Hospice Care, Community Based | 12126 Hwy 14 N Ste A, Cedar Crest, NM 87008-9406 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on PRESBYTERIAN MEDICAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.