COMMUNITY ACTION AGENCY OF SOUTHERN NM, INC


Address: 3880 Foothills Rd, Suite A, Las Cruces, NM 88011-4631
Phone: 5755278799

COMMUNITY ACTION AGENCY OF SOUTHERN NM, INC (NPI# 1174761654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174761654
Entity Type Organization
Organization Name COMMUNITY ACTION AGENCY OF SOUTHERN NM, INC
Practice Address 3880 Foothills Rd
Suite A
Las Cruces
NM 88011-4631
Practice Telephone 5755278799
Practice Fax Number 5755279028
Mailing Telephone 5755278799
Mailing Fax Number 5755279028
Enumeration Date 2009-01-22
Last Update Date 2009-07-28
Authorized Official Name CAROLYN KUHN (CHIEF OPERATING OFFICER)
Authorized Official Telephone 5755278799
Authorized Official Credential COO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Office Location

Street Address 3880 FOOTHILLS RD
SUITE A
City LAS CRUCES
State NM
Zip Code 88011-4631

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NPI Name Taxonomy Address Enumeration
1356954648 Asc of The Heart Institute Internal Medicine 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 2020-08-26
1104449206 Kruti Gitesh Shah Student in an Organized Health Care Education/Training Program Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 2020-05-22
1831719368 Borna Mansouri Student in an Organized Health Care Education/Training Program 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 2020-04-24
1306474408 Madonna Petula Phillip Student in an Organized Health Care Education/Training Program 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 2020-04-01
1285267849 Back In Action Therapy of Las Cruces Occupational Therapist 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 2020-02-21
1649818725 Kimberly Ann Smetzer Registered Nurse 4401 East Lohman, Building 5, Las Cruces, NM 88011 2019-12-19
1548806375 Melinda Michelle Fowler Social Worker 2605 Terrace Drive, Las Cruces, NM 88011 2019-11-27
1871134692 Rio Grande Hematology and Oncology, LLC Internal Medicine 4391 East Lohman Ave., Las Cruces, NM 88011 2019-10-02
1972083640 Lorianna R. Narvaez Counselor 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 2018-08-21
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124331103 The Community Foundation of Southern New Mexico Clinic/Center 301 S Church St Ste H, Las Cruces, NM 88001-3568 2010-07-20
1245470061 The Community Foundation of Southern New Mexico Clinic/Center 1755 El Paseo, Las Cruces High School - Based Health Center, Las Cruces, NM 88011 2009-03-06
1780822247 The Community Foundation of Southern New Mexico Clinic/Center 5700 Mesa Grande, Onate High School - Based Health Clinic, Las Cruces, NM 88012 2009-01-21
1336200294 New Mexico State University Student Health Center Clinic/Center Corner of Stewart and Breland Dr, New Mexico State University Student Health Center, Las Cruces, NM 88003-8001 2006-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366930380 Nor-lea Hospital District Clinic/Center 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 2018-04-25
1740784198 Fnch Sbhc Naca High School Clinic/Center 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 2018-03-21
1396104964 Mora Valley Community Health Services, Inc. Clinic/Center 10 Ranger Dr, Mora, NM 87732 2016-02-11
1215284146 Presbyterian Medical Services Clinic/Center 1200 Michigan Street, Socorro, NM 87801 2012-08-09
1740553734 Presbyterian Medical Services Clinic/Center #50 County Road 13, Cuba, NM 87013 2012-02-22
1720305188 West Las Vegas Public Schools Clinic/Center 1024 South Pacific, Las Vegas, NM 87701-3495 2010-04-26
1801021670 Communtiy Action Agency of Southern N.m., Inc. Clinic/Center 1301 Washington St., Anthony, NM 88021-8846 2009-05-22
1114161510 Dulce Independent Schools Clinic/Center 125 Hawks Dr, Dulce, NM 87528-0547 2009-04-29
1407094980 The Community Foundation of Southern New Mexico Clinic/Center 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 2009-01-22
1932354768 Northeast Regional Education Cooperative Clinic/Center Hwy 518 Ranger Drive, Mora, NM 87732 2008-11-20
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Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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