Rebecca Ramirez

Individual provider Active NPI Community Health Worker · Springer, NM

NPI 1114500014 · NPPES record last updated Sep 13, 2021

Key facts

NPI
1114500014
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
802 3Rd Street
Springer, NM 87747
Phone
(505) 398-1567
Fax
(575) 383-3337
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lancer Health Group, LLC Current
since May 16, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

802 3Rd Street
Springer, NM 87747

Mailing address

PO Box 446
Springer, NM 87747-0446
Phone (505) 398-1567

Other providers in Springer, NM

All providers in Springer, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.