PRESBYTERIAN HOSPITAL
NPI 1215913470
General Acute Care Hospital in Albuquerque, NM


Hospital Overall Rating: 2 out of 5 stars

NPI Status: Active since December 20, 2005

Contact Information

1100 CENTRAL SE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 841-1234
Fax: (505) 923-5354

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance

About PRESBYTERIAN HOSPITAL

Presbyterian Hospital is a hospital serving the Albuquerque, New Mexico region. The facility is a general acute care hospital. The NPI number of this hospital is 1215913470 assigned on December 2005. The hospital's primary taxonomy code is 282N00000X with license number 6022 (NM). The provider is registered as an organization and their NPI record was last updated 6 years ago. Presbyterian Hospital operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Presbyterian Hospital. The authorized official of this NPI record is Kimberly Poland (Manager)

NPI
1215913470
Provider Legal Name
PRESBYTERIAN HEALTHCARE SERVICES
Other Organization Name
PRESBYTERIAN HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1100 CENTRAL SE ALBUQUERQUE, NM 87106
Location Phone
(505) 841-1234
Location Fax
(505) 923-5354
Mailing Address
PO BOX 26666 PROVIDER ENROLLMENT ALBUQUERQUE, NM 87125
Mailing Phone
(505) 823-8528
Mailing Fax
(505) 923-5354
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2005
Last Update Date
05-09-2019
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According to the Hospital Compare program data, Presbyterian Hospital has fair overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 2 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
6022
License State
NM
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY POLAND

Authorized Official Title
MANAGER
Authorized Official Phone
(505) 923-5355

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00109MEDICAID (05)NM 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 2 out of 5 stars - Fair

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Doctor Communication - 3 out of 5 stars - Average

    Doctor communication - star rating

  • Nurse Communication - 3 out of 5 stars - Average

    Nurse communication - star rating

  • Care Transition - 2 out of 5 stars - Fair

    Care transition - star rating

  • Discharge Information - 2 out of 5 stars - Fair

    Discharge information - star rating

  • Communication About Medicines - 3 out of 5 stars - Average

    Communication about medicines - star rating

  • Staff Responsiveness - 3 out of 5 stars - Average

    Staff responsiveness - star rating

  • Recommend Hospital - 4 out of 5 stars - Good

    Recommend hospital - star rating

  • Quietness - 3 out of 5 stars - Average

    Quietness - star rating

  • Cleanliness - 3 out of 5 stars - Average

    Cleanliness - star rating

  • Hospital Type Acute Care Hospitals - Voluntary non-profit - Private

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records:

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative sepsis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative respiratory failure rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate among surgical inpatients with serious treatable complications is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Pressure ulcer rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate for stroke patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for CABG surgery patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart attack patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of complications for hip/knee replacement patients is no different than the national rate

    Evaluation Period: July 2020 - March 2023

Hospital Associated Infections Quality Ratings

  • Clostridium Difficile (C.Diff) is better than the national benchmark

    Evaluation Period: January 2023 - December 2023

  • MRSA Bacteremia is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Abdominal Hysterectomy is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Colon Surgery is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is better than the national rate

    Evaluation Period: July 2022 - June 2023

  • Rate of readmission after hip/knee replacement is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is better than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for CABG is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

    Evaluation Period: January 2022 - December 2022

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Hospital return days for pneumonia patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is fewer days than average per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart attack patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

  • Elective Delivery percentage is 6%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Left before being seen is 9 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 623 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 317 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 75%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 30.5%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Emergency department volume is very high

    Evaluation Period: January 2022 - December 2022

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is 71

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is not available

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is 90

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is 96

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 54 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 51

    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is not available %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is 36 %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 23 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 15

    Evaluation Period: January 2023 - December 2023

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 95 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is 20 %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

Reviews for PRESBYTERIAN HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215913470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251816414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 1 + 6 + 4 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1215913470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477706398 IZABEL REIS BELEM MD
Individual
Pediatrics1100 CENTRAL SE PICU, 6TH FLOOR
ALBUQUERQUE, NM 87106
(505) 841-1063
1871724476 RICHARD P STAM MD
Individual
Pediatrics1100 CENTRAL SE PMG URGENT CARE
ALBUQUERQUE, NM 87106
(505) 841-1819
1356608442 MOLLY MARTYN PT
Individual
Physical Therapist1100 CENTRAL SE PRESBYTERIAN HOSPITAL
ALBUQUERQUE, NM 87106
(505) 841-1125
1003173840 ISABEL GONZALES PTA
Individual
Physical Therapy Assistant1100 CENTRAL SE
ALBUQUERQUE, NM 87106
(505) 841-1125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215913470, enumerated in the NPI registry as an "organization" on December 20, 2005

The provider is located at 1100 Central Se Albuquerque, Nm 87106 and the phone number is (505) 841-1234

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The Overall Quality Rating for this hospital is 2 out of 5 stars which is fair when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.

This hospital has affiliations with at least 1273 health care professionals covering 37 different specialties including: Orthopaedic Surgery, Nurse Anesthetist, Certified Registered, Internal Medicine, Surgery, Emergency Medicine, Family Medicine, Physician Assistant, Radiology, Hospitalist, Nurse Practitioner, Advanced Practice Midwife, Obstetrics & Gynecology, Psychiatry & Neurology, Neurological Surgery, Podiatrist, Specialist, Pediatrics, Clinical Nurse Specialist, Pathology, Anesthesiology, Urology, , Psychologist, Thoracic Surgery (Cardiothoracic Vascular Surgery), Student in an Organized Health Care Education/Training Program, Plastic Surgery, Physical Medicine & Rehabilitation, Otolaryngology, Dietitian, Registered, Transplant Surgery, Allergy & Immunology, Social Worker, Registered Nurse, Colon & Rectal Surgery, Nuclear Medicine, General Practice and Oral & Maxillofacial Surgery.

This NPI record was last updated on December 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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