Presbyterian Medical Services
Organization Active NPI Federally Qualified Health Center (FQHC) · Deming, NM
NPI 1245618503 · NPPES record last updated Jan 9, 2021
Key facts
- NPI
- 1245618503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PRESBYTERIAN MEDICAL SERVICES
- Practice address
- 901 W Hickory St
Deming, NM 88030-4046 - Phone
- (505) 820-3466
- Fax
- (505) 992-4990
- NPI assigned
- May 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Doug Smith
- Title
- Executive Vice President
- Phone
- (505) 982-5565
Other NPIs on the same Medicare enrollment 9
Practitioners 32
-
Carrie Anderson Williams, LPCC
-
Rhonda Lynette Bennett, LPCC
-
Gregory C Bussey, LICSW
-
Ashley Carro, ARNP
-
Kathleen Cathey, DNP, C-FNP
-
Davin C Craig, DNP, PMHNP-BC
-
Roger Allen Desalme Jr., LPCC
-
Jenifer Ann Deziel, APNP
-
Fae M Epaloose, LPCC
-
Nadia Shirin Fazel, DMD
-
Adriana Gonzales, DNP, FNP-C
-
Jason Hayes, CNP
-
Philicia J King, PMHNP-BC, FNP-BC
-
Brandy May Kuenzler, CNP
-
Audrey Laws, CNP
-
Alicia Lebo, DNP
-
Jonathan L. Leggett, PHD
-
Kathy Onsurez Wilson, CNP
-
Nicole Ortega, CNP
-
Daniel John Pelak, LPCC
-
Joyce Ann Stigge, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000414 | NM | Part B Supplier - Clinic/Group Practice | 2062324684 |
Receives reassigned benefits from 340 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Fe, NM; Socorro, NM; Rio Rancho, NM; Pecos, NM; Espanola, NM; Deming, NM; Carlsbad, NM; Albuquerque, NM… |
National Provider Directory
Locations
901 W Hickory St
Deming, NM 88030
Phone (575) 546-2174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
901 W Hickory St
Deming, NM 88030-4046
Mailing address
1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Other names
- Deming BH Health Center
Other providers in Deming, NM
- Elaine Plasters
- Allen Edward Plymale
- Jillana Pollard
- Tahirih Post
- Denise C Powell
- Presbyterian Medical Services
- Presbyterian Medical Services
- Presbyterian Medical Services Inc
- Quality Life Management LLC
- Kathy Quarrell
All providers in Deming, NM · Federally Qualified Health Center (FQHC) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.