PRESBYTERIAN HEALTHCARE SERVICES (NPI# 1912324930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912324930 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HEALTHCARE SERVICES |
| Other Organization Name | CORONA HEALTH CLINIC |
| Practice Address |
471 Main St Corona NM 88318 |
| Mailing Address |
Po Box 26666 Albuquerque NM 87125-6666 |
| Practice Telephone | 5758491561 |
| Practice Fax Number | 5758491562 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | BO BEAMES (VP RDS) |
| Authorized Official Telephone | 5758358700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 3156 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 07773242 | 05 |
| 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 ST |
| City | CORONA |
| State | NM |
| Zip Code | 88318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1538358734 | Richard A Farris | Chiropractor | 471 Main Street, Corona, NM 88318 | 2007-10-24 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076644 | New Hope Medical Group, A Professional Corporation | General Practice | 1820 Fullerton Ave Ste 230, Corona, CA 92881-3147 | 2019-01-06 |
| 1598293532 | Robert Christian Maciel | General Practice | 2630 Sena St, Corona, CA 92882-8807 | 2017-06-02 |
| 1578096731 | Jordano Sanchez | General Practice | 10852 38th Ave Apt 2r, Corona, NY 11368-2029 | 2017-04-05 |
| 1154772259 | Rimpau Medical Clinic, Inc. | General Practice | 1451 S. Rimpau Ave, Suite 109, Corona, CA 92879-7521 | 2016-06-29 |
| 1558717686 | Miguel G. De Perio M.d. Inc. | General Practice | 14476 Alder Dr, Corona, CA 92880-3517 | 2016-05-07 |
| 1063871424 | Yoav Gershon | General Practice | 420 N Mckinley St # 111-618, Corona, CA 92879-8099 | 2016-02-14 |
| 1568709483 | Ashwin Bavaji Patel | General Practice | 2500 Oak Ave, Corona, CA 92882-5808 | 2013-01-11 |
| 1932352465 | James Raymond Avellini | General Practice | 10408 Roosevelt Ave, Ll, Corona, NY 11368-2328 | 2008-10-28 |
| 1780634857 | Xinke Chen | General Practice | 500 Corona Mall, Corona, CA 92879-1420 | 2006-05-11 |
| 1528225026 | Remed Medical, P. C. | General Practice | 9815 Horace Harding Expy, Doctors Office, Corona, NY 11368-4249 | 2008-05-21 |
| Find all providers in CORONA | ||||
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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.