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Presbyterian Medical Services
Non-Pharmacy Dispensing Site in Grants, New Mexico
NPI 1205902376

Presbyterian Medical Services is a Non-Pharmacy Dispensing Site based in Santa Fe, NM. Presbyterian Medical Services practices in Grants, NM. The NPI Number for Presbyterian Medical Services is 1205902376 and holds a License No. (New Mexico).

The current practice location address for Presbyterian Medical Services is 1217 Bonita St, Grants, NM and can be reached out via phone at 505-287-2958 and via fax at 505-287-2403.

Location: 1217 Bonita St, Grants, NM, 87504-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205902376
Provider Name
Presbyterian Medical Services
Credential
Provider Entity Type
Organization
Address
1217 Bonita St, Grants, NM, 87504-2267
Phone Number
505-287-2958
Fax Number
505-287-2403
Provider Enumeration Date
11/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43620 05 NM
3209687 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1217 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
505-287-2958
Fax Number
505-287-2403
person
Provider Business Mailing Address Details
Address
1217 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
505-287-2958
Fax Number
505-287-2403
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
CL00007401 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
(New Mexico)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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