Maria Pacheco

Individual provider Active NPI Community Health Worker · Deming, NM

NPI 1235501271 · NPPES record last updated Oct 29, 2015

Key facts

NPI
1235501271
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Ben Archer Health Center Past Accepting new patients
Ben Archer Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

125 Chaparrel Blvd NW
Deming, NM 88030-8629

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other providers in Deming, NM

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

Sources for this page

Verify at the official NPI Registry.