Presbyterian Healthcare Services
Organization Active NPI Psychiatric Hospital Unit · Albuquerque, NM
NPI 1598740482 · NPPES record last updated Jul 30, 2015
Key facts
- NPI
- 1598740482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 6114 (NM)
- Legal business name
- PRESBYTERIAN HEALTHCARE SERVICES
- Practice address
- 8300 Constitution Ave NE
Albuquerque, NM 87110-7613 - Phone
- (505) 291-5300
- Fax
- (505) 291-5301
- NPI assigned
- Dec 13, 2005
- Reactivated
- Jul 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Dale Maxwell
- Title
- VP Finance/Cfo Delivery System
- Phone
- (505) 923-5353
Owners & managing parties with NPI records 3
-
Marjorie Bessel, MD
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Practitioners 11
-
Samira Khalil, MD
-
Ryan Alexander Mals, M.D.
-
Nancy Martin, MD
-
Janice Marie Bingle, M.D.
-
Nathaniel Grant Sharon, M.D.
Affiliated clinicians 1,617
-
Denise E Aamodt, MD
-
Sarah Adnan Abla, DO
-
Natasha Abruzzo, CNP
-
Gabrielle Adams, M.D.
-
John Adamson, PA-C
-
Chudi N Adi, M.D.
-
Chidozie Charles Agu, M.D.
-
Alberto Aguayo Rico, M.D,
-
Tamara Lynn Aguilar, CNP
-
Gabriel Aguirre, PA
-
Laura Ahrens, LMSW
-
Mohamad Al Kateb, M.D.
-
Ahmed H Alaini, M.D.
-
Eduardo A. Alas, M.D.
Medicare Care Compare: Hospital
- Listed as
- Presbyterian Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM
Hospital certification: CCN 320021
- Legal name
- PRESBYTERIAN HEALTHCARE SERVICES
- Doing business as
- PRESBYTERIAN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 12, 2023
- Beds
- 623
- Ownership / control type
- Private (not for profit)
- Organization structure
- Other · Non-profit
- Incorporated
- Oct 24, 1908 in NM
- Enrollment address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Hospital subgroups
- Acute care
Hospital certification: CCN 32S021
- Legal name
- PRESBYTERIAN HEALTHCARE SERVICES
- Doing business as
- PRESBYTERIAN KASEMAN PSYCH UNIT
- Organization structure
- Other · Non-profit
- Incorporated
- Oct 24, 1908 in NM
- Enrollment address
- 8300 Constitution Ave NE
Albuquerque, NM 87110-7613 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Angela R Gallegos-Macias |
Other |
Jan 1, 2018 | |
| Kimberly Poland |
W-2 Managing Employee |
Jan 1, 2017 | |
| Terri Kline |
Other |
Jan 1, 2022 | |
| Marjorie J Bessel |
Other |
Jan 1, 2022 | |
| Rishi Sikka |
Corporate Officer |
Oct 1, 2024 | |
| W-2 Managing Employee |
Oct 1, 2024 | ||
| Other |
Oct 1, 2024 | ||
| Barbara Balik |
Other |
Jan 1, 2021 | |
| Tom Briones |
Other |
Sep 1, 2024 | |
| Norman Becker |
Other |
Jan 1, 2019 | |
| Elisabeth Eden |
Other |
Jan 1, 2024 | |
| Leslie Hoffman |
Other |
Jan 1, 2017 | |
| Robert Jefferson |
Other |
Aug 1, 2015 | |
| Gayle D Chacon |
Other |
Jan 1, 2022 | |
| Cynthia Schultz |
Other |
Feb 1, 2016 | |
| Lauren Cates |
Corporate Officer |
Jan 1, 2023 | |
| W-2 Managing Employee |
Jan 1, 2000 | ||
| Other |
Jan 1, 2023 | ||
| W-2 Managing Employee | May 31, 2007 | ||
| Victoria Carmignani |
W-2 Managing Employee | Apr 1, 2011 | |
| Tom Wise |
Other |
Sep 1, 2024 | |
| Clay Holderman |
W-2 Managing Employee | Apr 1, 2008 | |
| Dale Maxwell |
Corporate Director | May 1, 2009 | |
| W-2 Managing Employee | Apr 1, 2009 | ||
| David R Scrase |
Corporate Director | Jan 1, 2007 | |
| W-2 Managing Employee | Jan 1, 2007 | ||
| Steven Figge |
W-2 Managing Employee | Jan 1, 2010 | |
| James Hinton |
5% Or Greater Indirect Ownership Interest |
Jan 1, 2000 |
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Presbyterian Espanola Hospital |
Hospital | Operational/Managerial Control | May 24, 1948 |
| Plains Regional Medical Center Clovis |
Hospital | Operational/Managerial Control | Jan 1, 1978 |
| Socorro General Hospital |
Hospital | Operational/Managerial Control | Mar 30, 2000 |
| Socorro General Hospital |
Hospital | Operational/Managerial Control | Mar 30, 2000 |
| Dr. Dan C. Trigg Memorial Hospital |
Hospital | Operational/Managerial Control | Mar 30, 2000 |
| Dr. Dan C. Trigg Memorial Hospital |
Hospital | Operational/Managerial Control | Mar 15, 2000 |
| Socorro General Hospital Home Healthcare |
Home health agency | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Apr 1, 2000 Jan 19, 2009 |
| Plains Regional Medical Center Clovis Home Healthcare |
Home health agency | 5% Or Greater Direct Ownership Interest | Feb 14, 1979 |
| Tucumcari Hospice |
Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Dec 1, 2009 Dec 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040818000466 | NM | Part a Provider - Hospital | 9234041708 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
| O20070913000906 | NM | Part a Provider - Hospital | 9234041708 | Practice locations: Rio Rancho, NM; Albuquerque, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Psychiatric Hospital Unit | 273R00000X | 6114 | NM | Yes |
Addresses
Primary practice location
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Mailing address
PO Box 26666
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225720 0 | Other | NM | MEDICARE PART B |
| 00993 | Medicaid | NM |
Other names
- Presbyterian Kaseman Psych Unit
Other providers in Albuquerque, NM
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
All providers in Albuquerque, NM · Psychiatric Hospital Unit 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 Jul 30, 2015. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.