Presbyterian Medical Services
Organization Active NPI Clinic/Center · Carlsbad, NM
NPI 1629468830 · NPPES record last updated Jan 9, 2021
Key facts
- NPI
- 1629468830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PRESBYTERIAN MEDICAL SERVICES
- Practice address
- 914 N Canal St
Carlsbad, NM 88220-5110 - Phone
- (505) 982-5565
- Fax
- (505) 992-4990
- NPI assigned
- Jan 26, 2015
- Organization subpart
- No
Authorized official
- Name
- Doug Smith
- Title
- Executive Vice President
- Phone
- (505) 954-2303
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 24
Practitioners 36
-
Patricia J Aldaz, CNP
-
August Berry, LCSW
-
Marcie Ann Burns, LCSW
-
Jennifer Campbell, LMFT
-
Alyson Deakyne, LCSW
-
Michelle Dean, CNP
-
Kary M Felt, CNP
-
Emily Fossum, LPCC
-
Jasmine Hinchman, NP-C
-
Richard Lande Kozoll, M.D., M.P.H.
-
Jaewon Lee, CNP
-
Cody W Lewis, PA-C
-
Ginger Yasmine McGuire, LCSW
-
Beatriz Y Nava-Mendoza, LPCC
-
Shawn David O'Connell, LPCC
-
Vernon Anthony Osborn, PMHNP
-
Tara N Parent, LCSW
-
Amy Allison Ray, LPCC
-
Helen Louisa Snyder, CRNP CNM
-
Caryn Jean Stone, LPCC
-
Amanda Elizabeth Taylor, LPCC
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
- Tax ID family
- PMS Questa Health Cente
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
914 N Canal St
Carlsbad, NM 88220-5110
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Phone (505) 982-5565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NM |
Other names
- Carlsbad Family Health Center Behavioral Health
Other providers in Carlsbad, NM
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.