PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1295989168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295989168 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | NORTHSIDE SAMPLE CLINIC |
| Practice Address |
5901 Harper Dr Ne Albuquerque NM 87109-3587 |
| Mailing Address |
1100 Central Se Albuquerque NM 87102 |
| Practice Telephone | 5058238552 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MATTHEW NAGY (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5058411872 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CL00010555 | NM | Suppliers |
| Other Name | Type Code |
|---|---|
| Northside Sample Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1942615570 | Presbyterian Healthcare Services | Pharmacy | 2401 W. 21st St, Clovis, NM 88101 | 2014-06-23 |
| 1215913470 | Presbyterian Healthcare Services | Emergency Medicine | 1100 Central Se, Albuquerque, NM 87106-4930 | 2005-12-20 |
| 1508842758 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
| 1053397497 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 2200 W 21st St, Clovis, NM 88101-2011 | 2005-12-19 |
| 1336125764 | Presbyterian Healthcare Services | Emergency Medicine | 1202 Highway 60 Bldg E, Socorro, NM 87801-3914 | 2005-12-19 |
| 1972589307 | Presbyterian Healthcare Services | Emergency Medicine | 1202 Highway 60 Building E, Socorro, NM 87801 | 2005-12-19 |
| 1295710176 | Presbyterian Healthcare Services | Emergency Medicine | 2217 Dillon, Clovis, NM 88101-9454 | 2005-12-13 |
| 1235114125 | Presbyterian Healthcare Services | Emergency Medicine | 710 Avenue E, Carrizozo, NM 88301-0008 | 2005-12-13 |
| 1750366639 | Presbyterian Healthcare Services | Emergency Medicine | 2217 Dillon Rd, Clovis, NM 88101-9454 | 2005-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESBYTERIAN HEALTHCARE SERVICES | 9521 San Mateo Blvd Ne, Albuquerque, NM 87113-2237 |
| Colorado Business Entities | PRESBYTERIAN HEALTHCARE SERVICES | 5901 Harper N E, Albuquerque, NM 87109 |
| Street Address |
5901 HARPER DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043561 | Megan Van Winkle | Family Medicine | 5901 Harper Dr Ne, Pmg Urgent Care, Albuquerque, NM 87109-3587 | 2005-09-14 |
| 1023661311 | Kelly Jamison | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2019-07-17 |
| 1023586898 | Sherrie Dugas | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-11-08 |
| 1396210696 | Heather Rene Alter | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-10-12 |
| 1114408754 | Mary Terese Anenkeng Anangfac | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-08-22 |
| 1104311869 | John Luna | Physician Assistant | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2018-06-26 |
| 1831687110 | Jason Mechenbier | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109 | 2018-04-23 |
| 1154835668 | Carol Beadle | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-11-20 |
| 1235641838 | Kimberlee Elizabeth Tafoya | Nurse Practitioner | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-11-04 |
| 1073035689 | Alexandra Carter | Physician Assistant | 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638077 | Pharmascript Inc | Pharmacy | 6501 Americas Pkwy Ne Ste 121, Albuquerque, NM 87110-9813 | 2020-08-05 |
| 1174935928 | Albuquerque Health Care for The Homeless, Inc. | Pharmacy | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2014-05-28 |
| 1982849030 | University of New Mexico Hospital | Pharmacy | 8200 Central Ave Se, Suite 106, Albuquerque, NM 87108-2408 | 2008-12-03 |
| 1649424516 | Presbyterian Healthcare Services | Pharmacy | 8300 Constitution Ne, Bldg D, Albuquerque, NM 87110 | 2008-11-05 |
| 1336296805 | May Pharmacy Isleta | Pharmacy | 1010 Bridge Blvd Sw, Albuquerque, NM 87105-3765 | 2007-01-05 |
| 1619051752 | Lovelace Health Systems Inc | Pharmacy | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276160 | Corrales Pharmacy Inc | Pharmacy | 221 State Highway 165 # A4, A4, Placitas, NM 87043-9514 | 2020-02-10 |
| 1407343445 | St. Luke's Health Care Clinic | Pharmacy | 999 W. Amador Ave., Las Cruces, NM 88004-2243 | 2018-04-16 |
| 1295080745 | Pms Dba Cuba Health Center Pharmacy | Pharmacy | 6349 State Hwy. 550, Cuba, NM 87013 | 2012-07-20 |
| 1831212281 | Pueblo Pintado Health Center | Pharmacy | Hwy 371 Route 9, Crownpoint, NM 87313-0358 | 2007-04-09 |
| 1881727873 | Acoma Canoncito Laguna Ihs Pharmacy | Pharmacy | 1 40 Exit 203 Acomita, San Fidel, NM 87049 | 2007-03-13 |
| 1821580416 | Acp Pharmacy LLC | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-05-31 |
| 1144592866 | Presbyterian Healthcare Services | Pharmacy | 2400 Unser Blvd Se, Rio Rancho, NM 87124-3392 | 2012-01-27 |
| 1528259124 | La Casa Family Health Center | Pharmacy | 1521 W 13th St, Clovis, NM 88101-5568 | 2007-08-08 |
| 1467663278 | La Clinica De Familia | Pharmacy | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005 | 2007-05-24 |
| 1982824876 | New Mexico Department of Health Pharmacy | Pharmacy | 1301 Siler Rd, Building A, Santa Fe, NM 87507-3541 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.