Look up the most recent NPI and PECOS records

Presbyterian Healthcare Services

(<Unavail>)

Internal Medicine

Allopathic & Osteopathic Physicians

5901 Harper Dr NE, Albuquerque, NM 87109-3587

PECOS Enrollment

Based on the most recent information from CMS, provider Presbyterian Healthcare Services does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1104802354
Provider Type
Organization
Full Name
Presbyterian Healthcare Services
Other Name
<Unavail>

Subpart
No
Enumeration Date
12/20/2005
Last Updated
8/30/2012

Contact Information

Practice Location

5901 Harper Dr NE, Albuquerque, NM 87109-3587

(505) 823-8556

(505) 823-8555

Mailing Location

PO Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666

(505) 923-5356

(505) 923-5354

Authorized Official

Holderman, Clay (Coo/Cds)

(505) 724-7283

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207T00000X	Description Neurological Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207ZP0105X	Description Pathology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0400X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085R0001X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208VP0000X	Description Pain Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 213E00000X	Description Podiatrist Podiatric Medicine & Surgery Service Providers	License Unlisted Issuer
Code 261QU0200X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 291U00000X	Description Clinical Medical Laboratory Laboratories	License Unlisted Issuer New Mexico

Presbyterian Healthcare Services

(<Unavail>)

PECOS Enrollment

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