NPI 1336125764 · live from the CMS NPI Registry
Presbyterian Healthcare Services
Hospice Care, Community Based in Socorro, NM. National Provider Identifier 1336125764, active.
NPI record
| NPI | 1336125764 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1202 Highway 60 Bldg E, Socorro, NM 87801 |
| Practice phone | 575-835-8343 |
| Mailing address | Po Box 26666, Provider Enrollment, Albuquerque, NM 87125 |
| Enumerated | December 19, 2005 |
| Last updated | November 8, 2016 |
| Authorized official | Victoria Carmignani, Compliance |
| Other names | Socorro General Hospital Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | — |
| Internal Medicine | 207R00000X | — |
| Hospice Care, Community Based primary | 251G00000X | 6052 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.