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LAGUNA-ACOMA TEEN HEALTH CENTER
NPI 1811473978
Clinic/Center in Casa Blanca, NM

Active since July 12, 2018CLIA 32D2252432 · Waiver
282 CASA BLANCA RD, CASA BLANCA, NM 87007(505) 982-5565 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laguna-acoma Teen Health Center NPPES

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

LAGUNA-ACOMA TEEN HEALTH CENTER (NPI 1811473978) is a healthcare organization registered as a clinic/center in Casa Blanca, New Mexico and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Doug Smith, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1811473978
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRESBYTERIAN MEDICAL SERVICES
Location Address282 CASA BLANCA RDCasa Blanca, NM 87007
Mailing AddressPo Box 2267Santa Fe, NM 87504-2267 · (505) 982-5565 · Fax (505) 992-4990
Phone(505) 982-5565
Organization SubpartNo
Authorized OfficialDoug SmithExecutive Vice President · (505) 982-5565
Enumeration DateJuly 12, 2018
✔ NPI 1811473978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
282 CASA BLANCA RD, Casa Blanca, NM 87007
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Other Names 1

Doing Business AsLaguna-acoma Teen Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2252432

Laguna Acoma Teen Health Center (laguna Health Corp) · Casa Blanca, NM
Active · expires Feb 9, 2028
CLIA Number32D2252432
Laboratory TypeTribal(hhs/Ihs 638 Contr)
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorMiranda Haley
Laboratory Phone(505) 431-0714
Laboratory LocationLaguna Acoma Teen Health Center (laguna Health Corp)282 Casa Blanca Rd, Casa Blanca, NM 87007
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KAREN KAY EAGLE ARAGON LPN
Licensed Practical Nurse
282 CASA BLANCA RD
CASA BLANCA, NM 87007
Cibola County (505) 285-2672
LAGUNA HEALTHCARE CORPORATION
Family Medicine
282 CASA BLANCA RD
CASA BLANCA, NM 87007
Cibola County (505) 552-0163

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 Medical Services's NPI number?

The NPI number for Presbyterian Medical Services is 1811473978. It was assigned to this organization in the NPPES registry on July 12, 2018. The provider is doing business as Laguna-Acoma Teen Health Center.

Where is Presbyterian Medical Services located?

Presbyterian Medical Services is located at 282 Casa Blanca Rd, Casa Blanca, NM 87007. The listed phone number is (505) 982-5565.

What is Presbyterian Medical Services's specialty?

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

Does Presbyterian Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2252432) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Medical Services was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.