PRESBYTERIAN MEDICAL SERVICES (NPI# 1811473978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811473978 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | LAGUNA-ACOMA TEEN HEALTH CENTER |
| Practice Address |
282 Casa Blanca Rd Casa Blanca NM 87007 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5059825565 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MR. DOUG SMITH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Laguna-Acoma Teen 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 |
| 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 |
| 1669540076 | Presbyterian Medical Services | Clinic/Center | 1055 Rico St, Gallup, NM 87301-8003 | 2006-12-01 |
| 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 |
282 CASA BLANCA RD |
| City | CASA BLANCA |
| State | NM |
| Zip Code | 87007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502147 | Laguna Healthcare Corp | Family Medicine | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001024 | Laguna Healthcare Corp | Family Medicine | 6 Basswood Rd, Paraje, NM 87007 | 2020-10-20 |
| 1659859437 | Denise Renee Sanfilippo | Nurse Practitioner | 282 Casa Blanca, Casa Blanca, NM 87007 | 2018-08-02 |
| 1932267259 | Pueblo of Laguna | Ambulance | 5 Blue Star Loop, Paraje, NM 87007 | 2006-12-06 |
| 1023106432 | Gloria J Blea Johnson | Social Worker | Laguna Acoma Mid Senior High School Teen Center, Casa Blanca, NM 87007 | 2006-10-11 |
| 1316926041 | Laguna Rainbow Corporation | Skilled Nursing Facility | I-40, Exit 108, 1/2 Mile South State Road 23, Casa Blanca, NM 87007-0490 | 2006-01-11 |
| 1144777509 | Gale Sue Jones | Technician, Other | 23 Railroad Rd, Casa Blanca, NM 87007-1029 | 2016-09-02 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | CASA BLANCA |
| Zip Code | 87007 |
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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.