PRESBYTERIAN MEDICAL SERVICES (NPI# 1669766580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669766580 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Practice Address |
1001 W Broadway Ste D Farmington NM 87401-5638 |
| Practice Telephone | 5053250238 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | ERNEST MOSS (CLINICAL ADMINISTRATOR) |
| Authorized Official Telephone | 5053250238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
1001 W BROADWAY STE D |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132356 | Darren Powell | Counselor | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2005-08-24 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| 1255952826 | Breanna Smith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-05-05 |
| 1518506724 | Joni J Duran | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-01-06 |
| 1144867706 | Marlene Jim | Behavioral Analyst | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-12-03 |
| 1417503483 | James Andrew Bigham | Nurse Practitioner | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-08-14 |
| 1679125124 | Joshua Norris Powell | Social Worker | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-07-15 |
| 1043870330 | Karen A Silversmith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-18 |
| 1215595343 | Summer Popplewell | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-04 |
| Find all providers in the same location | ||||
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740653 | Personal Growth Services | Community/Behavioral Health | 57 Metacomet Rd, Farmington, CT 06032-1801 | 2020-11-03 |
| 1831753870 | Lucia Nazzaro, LLC | Community/Behavioral Health | 47 Tunxis Vlg, Farmington, CT 06032-1518 | 2019-04-25 |
| 1760987895 | Murphys Educational Center Inc | Community/Behavioral Health | 33519 State St, Farmington, MI 48335-3555 | 2018-03-29 |
| 1891161949 | Overcomers Counseling, LLC | Community/Behavioral Health | 475 East 20th Street, Farmington, NM 87401 | 2015-08-12 |
| 1265825012 | Straight Up Ministry, Inc | Community/Behavioral Health | 213 S Orchard Ave, Farmington, NM 87401-6459 | 2015-03-17 |
| 1902202260 | Life Matters: Counseling and Psychological Services | Community/Behavioral Health | 1170 Shepard Crk Pkwy, Farmington, UT 84025-2851 | 2014-11-14 |
| 1609126796 | Cardinal Care Center, P.l.l.c. | Community/Behavioral Health | 128 Southwinds Rd, Suite 3, Farmington, AR 72730-8652 | 2012-09-15 |
| 1235404385 | Uconn Health Center | Community/Behavioral Health | 263 Farmington Ave # Mc2103, Room # C1357, Farmington, CT 06030-2103 | 2012-03-21 |
| 1851628804 | Break of Day Inc. | Community/Behavioral Health | 462 S Strong Rd, #4, Farmington, ME 04938-5112 | 2009-11-12 |
| 1053646380 | Bjc Behavioral Health | Community/Behavioral Health | 1085 Maple Street, Farmington, MO 63640 | 2009-10-05 |
| Find all providers in FARMINGTON | ||||
| 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.