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NPI 1750366639 · live from the CMS NPI Registry

Presbyterian Healthcare Services

Hospice Care, Community Based in Clovis, NM. National Provider Identifier 1750366639, active.

NPI record

NPI1750366639 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location2217 Dillon Rd, Clovis, NM 88101
Practice phone505-469-7577
Mailing addressPo Box 26666, Provider Enrollment, Albuquerque, NM 87125
EnumeratedDecember 13, 2005
Last updatedMarch 11, 2014
Authorized officialRobert Garcia, Vp Regional Operations
Other namesPlains Regional Medical Center Hospice

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine207P00000X—
Internal Medicine207R00000X—
Hospice Care, Community Based primary251G00000X6399 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.