PRESBYTERIAN MEDICAL SERVICES (NPI# 1255407383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255407383 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | COLLEGE OF SANTA FE STUDENT HEALTH CENTER |
| Practice Address |
1600 Saint Michaels Dr La Salle Hall, Room 100 Santa Fe NM 87505-7615 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5054736574 |
| Practice Fax Number | 5054736467 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES L RIEBSOMER (PRESIDENT) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
CL00010380 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM CLINIC LICENSE | CL00010380 | 01 |
| Other Name | Type Code |
|---|---|
| College of Santa Fe Student Health Center | 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 |
| 1003977869 | Presbyterian Medical Services | Hospice Care, Community Based | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-13 |
| 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 |
| 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 |
1600 SAINT MICHAELS DR LA SALLE HALL, ROOM 100 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217403 | Wabanang Gaiashkibos Kuczek | Physician Assistant | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2006-07-17 |
| 1366074247 | Santa Fe Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2020-02-07 |
| 1841850427 | Newlyn Allison | Counselor | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2019-06-17 |
| 1356637904 | Carol Jean Patterson | Counselor | 1600 Saint Michaels Dr, Student Health Center, Santa Fe, NM 87505-7615 | 2011-06-22 |
| 1003053760 | Patricia Ann Stark | Social Worker | 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508035718 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1574 State Road 502, Santa Fe, NM 87506 | 2008-02-22 |
| 1003984089 | Presbyterian Medical Services | Clinic/Center | 2100 Yucca St, Santa Fe High School, Santa Fe, NM 87505-5456 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1396104964 | Mora Valley Community Health Services, Inc. | Clinic/Center | 10 Ranger Dr, Mora, NM 87732 | 2016-02-11 |
| 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 |
| 1124331103 | The Community Foundation of Southern New Mexico | Clinic/Center | 301 S Church St Ste H, Las Cruces, NM 88001-3568 | 2010-07-20 |
| 1720305188 | West Las Vegas Public Schools | Clinic/Center | 1024 South Pacific, Las Vegas, NM 87701-3495 | 2010-04-26 |
| 1801021670 | Communtiy Action Agency of Southern N.m., Inc. | Clinic/Center | 1301 Washington St., Anthony, NM 88021-8846 | 2009-05-22 |
| 1114161510 | Dulce Independent Schools | Clinic/Center | 125 Hawks Dr, Dulce, NM 87528-0547 | 2009-04-29 |
| 1245470061 | The Community Foundation of Southern New Mexico | Clinic/Center | 1755 El Paseo, Las Cruces High School - Based Health Center, Las Cruces, NM 88011 | 2009-03-06 |
| Find all providers with the same taxonomy | ||||
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| 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.