Marco Mitchell Anchondo
Individual provider Active NPI Community Health Worker · Anthony, NM
NPI 1093545386 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1093545386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 205 First St
Anthony, NM 88021-7382 - Phone
- (575) 201-5700
- Fax
- (575) 201-5701
- NPI assigned
- Aug 2, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
205 First St
Anthony, NM 88021-7382
Mailing address
205 First St
Anthony, NM 88021-7382
Phone (575) 201-5700
Other providers in Anthony, NM
- Michelle Alvarado
- Mayra Alvarez-Bernal
- Yvette Alvidrez
- Amanecer Community Counseling Center, LLC
- Angela Anaya
- Martin Nicholas Ancona
- Ruben Anguiano
- Melissa Arciero-Durr
- Erika Armendariz
- Justice M Au
All providers in Anthony, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.