PRESBYTERIAN MEDICAL SERVICES (NPI# 1851741359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851741359 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN MEDICAL SERVICES |
| Other Organization Name | SANTA FE FAMILY WELLNESS CENTER |
| Practice Address |
2504 Camino Entrada Santa Fe NM 87507-4851 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5054715006 |
| Practice Fax Number | 5058209220 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MR. MARC WELCH (VP OF FINANCE) |
| Authorized Official Telephone | 5059825565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 23856238 | 05 |
| Other Name | Type Code |
|---|---|
| Santa Fe Family Wellness 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 |
2504 CAMINO ENTRADA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669402103 | Christopher Clancy | Psychiatry & Neurology | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-07-03 |
| 1003420696 | Heidi Mae Gall | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-09-01 |
| 1538779897 | Sun Wiltse Vega | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507 | 2020-08-03 |
| 1740808518 | Bernadette D Mares | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-07-08 |
| 1982248662 | Teambuilders Behavioral Health, Inc. | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1790329472 | Teambuilders Behavioral Health, LLC | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1770126468 | Blake Ann Kish, Bms | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-24 |
| 1033752324 | Misper Etando | Nurse Practitioner | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-20 |
| 1851949739 | Briahna Easton | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-09-03 |
| 1689222093 | Lori Diane Shepard | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| 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 |
|---|---|---|---|---|
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1114094547 | Presbyterian Medical Services | Clinic/Center | 4851 Paseo Del Sol, Santa Fe, NM 87507-3027 | 2006-11-29 |
| 1740717743 | La Familia Medical Center | Clinic/Center | 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 | 2017-05-22 |
| 1477922409 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-09-21 |
| 1710384383 | La Familia Medical Center | Clinic/Center | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-11-26 |
| 1811059322 | La Familia Medical Center | Clinic/Center | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2006-12-14 |
| 1508945627 | Presbyterian Medical Services | Clinic/Center | 501 Airport Rd, Santa Fe, NM 87507-2876 | 2006-11-02 |
| 1124134028 | Presbyterian Medical Services | Clinic/Center | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6353 | 2006-08-22 |
| 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 |
| 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 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 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.