Ruth Bohlander
Individual provider Active NPI Community Health Worker · Raton, NM
NPI 1992391957 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1992391957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1273 S 2ND St
Raton, NM 87740-2234 - Phone
- (575) 733-0003
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- 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 |
|---|---|---|---|
| Krossroads Integrative Health and Recovery Solutions Inc | Current |
Accepting new patients |
Locations
1273 S 2nd St
Raton, NM 87740
Phone (575) 445-3557
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1273 S 2ND St
Raton, NM 87740-2234
Mailing address
PO Box 94508
Albuquerque, NM 87199-4508
Phone (575) 733-0003
Other providers in Raton, NM
- Jacqueline Berry
- Jewel Berry
- Bestcare Mesa
- Bestcare Mesa
- Paul R Blackburn
- Sheila Brooks
- Michael Lynn Brown
- Kayce L Bustos
- Charles James Buttram Jr.
- Cardinal Path Wellness LLC
All providers in Raton, NM · Community Health Worker 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 Dec 14, 2020. 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.