PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1538144415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538144415 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | CORONA HEALTH CLINIC |
| Practice Address |
471 Main Street Corona NM 88318 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5058491561 |
| Practice Fax Number | 5053540056 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | MR. BO BEAMES (VP REGIONAL DELIVERY SYSTEM) |
| Authorized Official Telephone | 5758358341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
3156 | NM | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Corona Health Clinic | Doing Business As Name - 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 |
471 MAIN STREET |
| City | CORONA |
| State | NM |
| Zip Code | 88318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358734 | Richard A Farris | Chiropractor | 471 Main Street, Corona, NM 88318 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324930 | Presbyterian Healthcare Services | General Practice | 471 Main St, Corona, NM 88318 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1790386167 | Chirley Oviedo | Behavior Technician | 285 S Vicentia Ave Apt 3, Corona, CA 92882-2157 | 2020-11-03 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1508465980 | Victoria Ogechi Iwuji | Registered Nurse | 9838 57th Ave Apt 5f, Corona, NY 11368-4923 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| Find all providers in CORONA | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1508021627 | New Mexico Mountain Healthcare | Clinic/Center | 348 St. Rd. 4, San Ysidro, NM 87053 | 2008-07-29 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
| 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.