Abraham Bustillos, LBSW

Individual provider Active NPI Case Manager/Care Coordinator · Deming, NM

NPI 1861786808 · NPPES record last updated Jun 7, 2011

Key facts

NPI
1861786808
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
901 W Hickory St
Deming, NM 88030-4046
Phone
(575) 546-2174
Fax
(575) 544-4821
NPI assigned
Jun 7, 2011
Sex
Male
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
Border Area Mental Health Services, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

901 W Hickory St
Deming, NM 88030-4046

Mailing address

PO Box 1349
Silver City, NM 88062-1349
Phone (575) 388-4497

Other providers in Deming, NM

All providers in Deming, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.