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MORENO VALLEY HEALTHCARE CLINIC
NPI 1164407052
Clinic/Center in Angel Fire, NM

Active since December 13, 2005
11 ELLIOTT BARKER LANE, ANGEL FIRE, NM 87710(505) 337-3301(505) 337-3991 Get Directions Write a Review

NPPES record last updated: August 8, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Moreno Valley Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORENO VALLEY HEALTHCARE CLINIC (NPI 1164407052) is a healthcare organization registered as a clinic/center in Angel Fire, New Mexico and active in the NPI registry since December 2005. The organization lists Robert Garcia, Vp Regional Operations, as its authorized official.

NPPES Registry Identity

NPI1164407052
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRESBYTERIAN HEALTHCARE SERVICES
Location Address11 ELLIOTT BARKER LANEAngel Fire, NM 87710
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 337-3301
Fax(505) 337-3991
Organization SubpartNo
Authorized OfficialRobert GarciaVp Regional Operations · (505) 923-5339
Enumeration DateDecember 13, 2005
Last NPPES UpdateAugust 8, 2010
✔ NPI 1164407052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NM · 2005510
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
11 ELLIOTT BARKER LANE, Angel Fire, NM 87710
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Other Names 1

Doing Business AsMoreno Valley Healthcare Clinic

Other Identifiers 2

Medicare UPIN=========NNM
MedicaidQ7392NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH A HAND CFNP
Nurse Practitioner
11 ELLIOTT BARKER LANE, MORENO VALLEY HEALTHCARE CLINIC
ANGEL FIRE, NM 87710
Colfax County (505) 377-3301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presbyterian Healthcare Services's NPI number?

The NPI number for Presbyterian Healthcare Services is 1164407052. It was assigned to this organization in the NPPES registry on December 13, 2005. The provider is doing business as Moreno Valley Healthcare Clinic.

Where is Presbyterian Healthcare Services located?

Presbyterian Healthcare Services is located at 11 Elliott Barker Lane, Angel Fire, NM 87710. The listed phone number is (505) 337-3301.

What is Presbyterian Healthcare Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Presbyterian Healthcare Services was last updated on August 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.