NPIMap

Organization Active NPI

Presbyterian Medical Services

Doing business as College of Santa Fe Student Health Center

  • Student Health Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1255407383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
CL00010380 Issued in NM
Legal business name
PRESBYTERIAN MEDICAL SERVICES
Doing business as
College of Santa Fe Student Health Center
Practice address
1600 Saint Michaels Dr
La Salle Hall, Room 100
Santa Fe, NM 87505-7615
Phone
(505) 473-6574
Fax
(505) 473-6467
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James L Riebsomer
Title
President
Phone
(505) 982-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X CL00010380 NM Primary

Addresses

Primary practice location

1600 Saint Michaels Dr
La Salle Hall, Room 100
Santa Fe, NM 87505-7615

Mailing address

PO Box 2267
Santa Fe, NM 87504-2267
Phone (505) 982-5565

Other identifiers 1

IdentifierTypeStateIssuer
CL00010380OtherNMNM CLINIC LICENSE

Other names 1

  • College of Santa Fe Student Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pmscheckerboard Area H70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1600 Saint Michaels Dr
Rm 100
Santa Fe, NM 87505
Phone (505) 473-6574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255407383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042267",
            "telephone_number": "505-982-5565",
            "fax_number": "505-992-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT MICHAELS DR",
            "address_2": "LA SALLE HALL, ROOM 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057615",
            "telephone_number": "505-473-6574",
            "fax_number": "505-473-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIEBSOMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-982-5565"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NM",
            "license": "CL00010380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM CLINIC LICENSE",
            "identifier": "CL00010380",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College of Santa Fe Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.