Presbyterian Medical Services
Clinic/Center in Farmington, NM. Organization (NPI-2).
NPI number1053407460
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1053407460
- Entity type
- Organization (NPI-2)
- Legal business name
- Presbyterian Medical Services
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | r55878 | NM | Yes |
Practice location
1001 W BroadwayFarmington, NM 87401-5638
Phone 505-327-4796
Mailing address
1895 Hollyhock CirFarmington, NM 87401-4701
Phone 505-327-1009
Authorized official
Jodi K Padgett
Nurse Practitioner
5053274796
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