COUNSELOR NAVAJO CLINIC – NPI #1396824223
Clinic/Center

COUNSELOR NAVAJO CLINIC is an AHC clinic located in COUNSELOR, NM. NPPES has assigned the NPI number 1396824223 to COUNSELOR NAVAJO CLINIC on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNSELOR NAVAJO CLINIC” is a dba name, the actual legal business name for this organization is PRESBYTERIAN MEDICAL SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Jan 09, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNSELOR NAVAJO CLINIC below.

NPI Profile for
PRESBYTERIAN MEDICAL SERVICES

NPI Number
1396824223
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRESBYTERIAN MEDICAL SERVICES
Doing Business As (dba): COUNSELOR NAVAJO CLINIC
Primary location
9837 US HIGHWAY 550
COUNSELOR, NM 87018
Phone: (505) 568-4328 Fax: (505) 568-4308
Mailing address
PO BOX 2267
SANTA FE, NM 87504-2267
Phone: Fax:
Organization Subpart
No
Authorized Official
DOUG SMITH
EXECUTIVE VICE PRESIDENT
Phone: (505) 982-5565
Updated
Certification Date
Jan 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COUNSELOR NAVAJO CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER3209550
MEDICAIDNM48322
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NM 6611
332900000X
- Non-Pharmacy Dispensing Site
NM CL00007156

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.