Presbyterian Healthcare Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2005-089 Issued in NM

Legal business name

PRESBYTERIAN HEALTHCARE SERVICES

Doing business as

Colfax General Laboratory

Practice address

615 Prospect Ave
Springer, NM 87747

Phone

(505) 483-3310

Fax

(505) 483-3327

NPI assigned

Dec 20, 2005

Last updated

Aug 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Garcia

Title

VP Regional Operations

Phone

(505) 923-5339

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Colfax General Laboratory Doing business as

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281225600000",
    "number": "1508842758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "SPRINGER",
            "state": "NM",
            "postal_code": "877470458",
            "telephone_number": "505-483-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PROSPECT AVE",
            "city": "SPRINGER",
            "state": "NM",
            "postal_code": "87747",
            "telephone_number": "505-483-3310",
            "fax_number": "505-483-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-08-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "505-923-5339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "2005-089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICRE PARE B",
            "identifier": "500521006",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07726511",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colfax General Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merced-LLC Merced Counseling Services
• Angelica Montoya, LMSW
• Margaret Montoya
• Barbara Pattison-Martinez
• Presbyterian Healthcare Services (Colfax Long Term Care)
• Rebecca Ramirez
• Anthony Ramos
• Estevan Antonio Romero
• South Central Colfax County Special Hospital District (Colfax General LTC)
• South Central Colfax County Special Hospital District (Colfax General Laboratory)

• Health Service Clinic/Center in Springer, NM
• Providers in Springer, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; 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.