PRESBYTERIAN MEDICAL SERVICES (NPI# 1811064827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811064827 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | ORTIZ MOUNTAIN HEALTH CENTER |
| Practice Address |
06b Main St Cerrillos NM 87010 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5054706266 |
| Practice Fax Number | 5054715861 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | ROBERTA LEE (CFO) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | CL00007440 | NM | Suppliers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6515 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 3209803 | 01 | |
| NM | F4919 | 05 |
| Other Name | Type Code |
|---|---|
| ORTIZ MOUNTAIN 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 |
06B MAIN ST |
| City | CERRILLOS |
| State | NM |
| Zip Code | 87010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386107308 | Priscilla Jo Green | Dietitian, Registered | 351 Red Rock Road, Los Cerrillos, NM 87010 | 2019-04-08 |
| 1639518822 | Ryan M Saldivar | Massage Therapist | 2884 Highway 14, Madrid, NM 87010 | 2013-06-20 |
| 1407969744 | Luann Mary Wosick | Nurse Practitioner | 06b Main Street, Ortiz Mountain Health Center, Cerrillos, NM 87010 | 2006-08-17 |
| 1295048874 | Anjani Susanna Ziznewski | Mechanotherapist | 44 Gold Mine Rd, Cerrillos, NM 87010-9700 | 2010-07-23 |
| 1740688647 | Christina Calderon | Counselor | 1 Opera House Rd, Madrid, NM 87010-9760 | 2014-12-09 |
| 1043716582 | Tammy Lynn Davis | Nutritionist | 1 Opera House Rd, Madrid, NM 87010-9760 | 2018-04-03 |
| 1558781310 | Jeannette Caviness | Chiropractor | 377 County Road 55a, Cerrillos, NM 87010-9786 | 2014-04-21 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
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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.