Presbyterian Healthcare Services
Organization Active NPI Health Service Clinic/Center · Cimarron, NM
NPI 1275518151 · NPPES record last updated Aug 8, 2010
Key facts
- NPI
- 1275518151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 6381 (NM)
- Legal business name
- PRESBYTERIAN HEALTHCARE SERVICES
- Practice address
- 9TH & Washington BLDG 356 C
Cimarron, NM 87714 - Phone
- (505) 376-2402
- Fax
- (505) 376-2107
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Garcia
- Title
- VP Regional Operations
- Phone
- (505) 923-5339
Other NPIs on the same Medicare enrollment 11
Practitioners 2
-
Ruth A Hand, CFNP
-
Henry K Hillman, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000603 | NM | Part B Supplier - Clinic/Group Practice | 9234041708 |
Receives reassigned benefits from 2,628 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Health Service Clinic/Center | 261QH0100X | 6381 | NM | Yes |
Addresses
Primary practice location
9TH & Washington BLDG 356 C
Cimarron, NM 87714
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43586 | Medicaid | NM |
Other names
- Cimarron Health Center
Other providers in Cimarron, NM
- Cimarron Home Health
- Adrian Esquivel
- Alison Gagnon
- Henry K Hillman
- Abbie L Laursen
- Melissa Smith
- South Central Colfax County Hospital District
- Sunrise Clinics
- Kathleen Anne Veit
- Village of Cimarron
All providers in Cimarron, NM · Health Service Clinic/Center 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 Aug 8, 2010. 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.