Patrick Kelly Saucedo
Individual provider Active NPI Case Manager/Care Coordinator · Lordsburg, NM
NPI 1801224969 · NPPES record last updated Apr 15, 2014
Key facts
- NPI
- 1801224969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 332 E. Motel Dr.
Lordsburg, NM 88045 - Phone
- (575) 542-3304
- Fax
- (575) 542-3305
- NPI assigned
- Oct 28, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Frontera Center, Inc. Dba la Frontera New Mexico, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
332 E. Motel Dr.
Lordsburg, NM 88045
Mailing address
1320 S. Solano
Las Cruces, NM 88001
Phone (575) 527-7900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other providers in Lordsburg, NM
- Recovery and Resiliency Services
- Kyle Richards
- Andrea Arta Riley
- Ricardo Rios Jr.
- Cruise A Rodriguez
- Kristene C. Sheryl
- Silverstone Healthcare of Lordsburg, LLC
- Ahsley W. Smith
- Kelly Snarr
- Joanha M Strelaw
All providers in Lordsburg, 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 Apr 15, 2014. 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.