Charles Rogers
Individual provider Active NPI Case Manager/Care Coordinator · Raton, NM
NPI 1386972610 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1386972610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 101 Letton Dr
Raton, NM 87740-4366 - Phone
- (575) 445-8568
- Fax
- (575) 445-0540
- NPI assigned
- Nov 24, 2009
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Yes |
Addresses
Primary practice location
101 Letton Dr
Raton, NM 87740-4366
Mailing address
101 Letton Dr
Raton, NM 87740-4366
Phone (575) 445-8568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71525564 | Medicaid | NM |
Other providers in Raton, NM
- Rimrock Emergency Physicians
- Jessica L Roberts
- Rocky Mountain Eye Center Inc a Colorado Provider Network
- Rocky Mountain Physical Therapy, Inc
- Nicole Rodriguez
- Donald G Rogers
- Angelina Roxanne Romero
- Caitlin Romero
- Chantel Romero
- Christine Romero
All providers in Raton, NM · Case Manager/Care Coordinator 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 Nov 24, 2009. 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.