| Ben Archer Health Center | |
|
1960 N Date St Truth Or Consequences NM 87901-3701 | |
| (575) 894-7662 | |
| (575) 894-7930 |
| Full Name | Ben Archer Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1960 N Date St, Truth Or Consequences, New Mexico |
| Authorized Official Name and Position | Mary Alice Garay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5752673280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Archer Health Center Po Box 370 Hatch NM 87937-0370 Ph: (575) 267-3280 | Ben Archer Health Center 1960 N Date St Truth Or Consequences NM 87901-3701 Ph: (575) 894-7662 |
| NPI Number | 1871528505 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7517878796 |
|---|---|
| Medicare Enrollment ID | O20031120000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871528505 | NPI | - | NPPES |
| 46455 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6400 (New Mexico) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 321854 (New Mexico) | Primary |
| Provider Name | Marilyn D Miller-shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487624474 PECOS PAC ID: 4284522038 Enrollment ID: I20040304001120 |
| Provider Name | Linda C Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538176813 PECOS PAC ID: 8325024854 Enrollment ID: I20040625000775 |
| Provider Name | Frances E Glasscock |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508926403 PECOS PAC ID: 8527037647 Enrollment ID: I20040927000416 |
| Provider Name | Randy M Lenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932192820 PECOS PAC ID: 3072579580 Enrollment ID: I20041207000401 |
| Provider Name | Raquel Neeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972581296 PECOS PAC ID: 1052355195 Enrollment ID: I20050819000496 |
| Provider Name | Gloria U Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962575209 PECOS PAC ID: 6103920418 Enrollment ID: I20070327000045 |
| Provider Name | Clyde K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619172848 PECOS PAC ID: 4385735810 Enrollment ID: I20070813000196 |
| Provider Name | Stephanie R Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548473325 PECOS PAC ID: 5496840662 Enrollment ID: I20071003000109 |
| Provider Name | Elizabeth G Kuchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215984174 PECOS PAC ID: 3375639735 Enrollment ID: I20071016000240 |
| Provider Name | Robert C Mayfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952465197 PECOS PAC ID: 2567550692 Enrollment ID: I20071126000589 |
| Provider Name | Joseph C Yaroch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225199458 PECOS PAC ID: 6608845516 Enrollment ID: I20091207000337 |
| Provider Name | Fernando Lugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225021389 PECOS PAC ID: 3072649185 Enrollment ID: I20100329000307 |
| Provider Name | Enrique Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659364701 PECOS PAC ID: 7517094956 Enrollment ID: I20100416000369 |
| Provider Name | Christopher G Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689667131 PECOS PAC ID: 0042347213 Enrollment ID: I20100420000298 |
| Provider Name | Edgar Janetzko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215999891 PECOS PAC ID: 7719017730 Enrollment ID: I20100617000169 |
| Provider Name | Valquiria Macedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790797512 PECOS PAC ID: 8325179567 Enrollment ID: I20100701000482 |
| Provider Name | Lauri Greis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356334999 PECOS PAC ID: 6204968274 Enrollment ID: I20100712000131 |
| Provider Name | Andrea Ocasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780972513 PECOS PAC ID: 6406029651 Enrollment ID: I20111103000116 |
| Provider Name | Hernan E Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376787085 PECOS PAC ID: 4486828837 Enrollment ID: I20111121000365 |
| Provider Name | Bobi Jo Lasalle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437416567 PECOS PAC ID: 1759546542 Enrollment ID: I20120628000552 |
| Provider Name | Jie Luo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902034341 PECOS PAC ID: 8628234721 Enrollment ID: I20120717000640 |
| Provider Name | Kourtney Chaires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497009203 PECOS PAC ID: 0941455307 Enrollment ID: I20130311000019 |
| Provider Name | Pamela Amparano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194066621 PECOS PAC ID: 2567602816 Enrollment ID: I20130709000710 |
| Provider Name | Lisa Rupard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942321666 PECOS PAC ID: 5092940825 Enrollment ID: I20131101000245 |
| Provider Name | Javier Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477865764 PECOS PAC ID: 3577790062 Enrollment ID: I20131206001501 |
| Provider Name | Shannon L Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316243736 PECOS PAC ID: 9234317645 Enrollment ID: I20140613000235 |
| Provider Name | Stephen A Colmant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760506190 PECOS PAC ID: 2769601996 Enrollment ID: I20140919001211 |
| Provider Name | Laura Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023391273 PECOS PAC ID: 3779705694 Enrollment ID: I20141110000921 |
| Provider Name | Cindy Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275800161 PECOS PAC ID: 1355667122 Enrollment ID: I20150313001865 |
| Provider Name | Trinette Radasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922234210 PECOS PAC ID: 2567780489 Enrollment ID: I20150406000202 |
| Provider Name | Kathleen M Schuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456751 PECOS PAC ID: 8820301740 Enrollment ID: I20150722003707 |
| Provider Name | Marco Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730527292 PECOS PAC ID: 3971811043 Enrollment ID: I20151009001513 |
| Provider Name | Kimberly A Lunar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791077 PECOS PAC ID: 6800197864 Enrollment ID: I20151216000359 |
| Provider Name | Joy Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265663306 PECOS PAC ID: 9436453537 Enrollment ID: I20160210002094 |
| Provider Name | Jose M Mendez Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841498375 PECOS PAC ID: 3678752813 Enrollment ID: I20160317000262 |
| Provider Name | Michael James Winsten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063608925 PECOS PAC ID: 6204125172 Enrollment ID: I20160516002163 |
| Provider Name | Angie L Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629307194 PECOS PAC ID: 3779876040 Enrollment ID: I20160725000655 |
| Provider Name | Yvette Rivera-colmant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730633793 PECOS PAC ID: 6709173313 Enrollment ID: I20160926002039 |
| Provider Name | Satya Anike Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174986772 PECOS PAC ID: 5294024352 Enrollment ID: I20161128002458 |
| Provider Name | Carolyn Vavrecan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174953947 PECOS PAC ID: 3870719636 Enrollment ID: I20170518002535 |
| Provider Name | Gabrielle Allsup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255855086 PECOS PAC ID: 4082989629 Enrollment ID: I20171006000575 |
| Provider Name | Roseline Cherilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780107680 PECOS PAC ID: 1658638275 Enrollment ID: I20171206001426 |
| Provider Name | Ekaette Ogodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013430974 PECOS PAC ID: 8325308125 Enrollment ID: I20180215000676 |
| Provider Name | Maria Maria Crespin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922515675 PECOS PAC ID: 9133480940 Enrollment ID: I20180219000538 |
| Provider Name | Kaiyra Salcido |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316200645 PECOS PAC ID: 7113222563 Enrollment ID: I20180314000579 |
| Provider Name | Wendy Lynn Lara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821094228 PECOS PAC ID: 1254693955 Enrollment ID: I20180316000685 |
| Provider Name | Michael A Jaurequi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992217665 PECOS PAC ID: 9133484710 Enrollment ID: I20180601000031 |
| Provider Name | Paul R Dunn |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073504171 PECOS PAC ID: 7113238775 Enrollment ID: I20180703002088 |
| Provider Name | Anthony Prieto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619462405 PECOS PAC ID: 2769730449 Enrollment ID: I20180813002542 |
| Provider Name | Virginia Longoria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285099556 PECOS PAC ID: 0840535092 Enrollment ID: I20181217003028 |
| Provider Name | Sarah Plante-olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487125043 PECOS PAC ID: 7113269192 Enrollment ID: I20190423000252 |
| Provider Name | Kimberly A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861961930 PECOS PAC ID: 3678815677 Enrollment ID: I20190423001093 |
| Provider Name | Mary E Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285295667 PECOS PAC ID: 7113255738 Enrollment ID: I20190821000417 |
| Provider Name | Gustavo Vasquez Sida |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871088419 PECOS PAC ID: 8921430786 Enrollment ID: I20191115001675 |
| Provider Name | Christine Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598112435 PECOS PAC ID: 6103259957 Enrollment ID: I20191209001710 |
| Provider Name | Rito Nelson Jasmin Daan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351647 PECOS PAC ID: 0042643868 Enrollment ID: I20191210001217 |
| Provider Name | Denise Armfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376176941 PECOS PAC ID: 0941638910 Enrollment ID: I20200325002530 |
| Provider Name | Erica Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740816420 PECOS PAC ID: 4183055759 Enrollment ID: I20200514001985 |
| Provider Name | Juan Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396366670 PECOS PAC ID: 0648692434 Enrollment ID: I20200624001975 |
| Provider Name | Audie Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699384537 PECOS PAC ID: 0345654745 Enrollment ID: I20210126002397 |
| Provider Name | Simerjit Kaur |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801023395 PECOS PAC ID: 0345655718 Enrollment ID: I20210217000008 |
| Provider Name | Sandra Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588244040 PECOS PAC ID: 2860895661 Enrollment ID: I20210729003881 |
| Provider Name | Candace Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235709718 PECOS PAC ID: 9032514211 Enrollment ID: I20210826000684 |
| Provider Name | Casey Lynn Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192488 PECOS PAC ID: 4789070806 Enrollment ID: I20220329002376 |
| Provider Name | Monique Tafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174292122 PECOS PAC ID: 3577950047 Enrollment ID: I20220502001170 |
| Provider Name | Merima Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174244818 PECOS PAC ID: 3870962095 Enrollment ID: I20221210000507 |
| Provider Name | Felicia Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649828724 PECOS PAC ID: 8820423148 Enrollment ID: I20230126002222 |
| Provider Name | Rebecca L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902227127 PECOS PAC ID: 7012372022 Enrollment ID: I20230426002376 |
| Provider Name | Diana Jeremias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366960601 PECOS PAC ID: 9537527197 Enrollment ID: I20230614002637 |
| Provider Name | Sterling Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447608450 PECOS PAC ID: 4981064581 Enrollment ID: I20230713004087 |
| Provider Name | Tyrell Dean |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265857601 PECOS PAC ID: 7214252832 Enrollment ID: I20240104003541 |
| Provider Name | Danielle M Regalado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821788837 PECOS PAC ID: 0143669820 Enrollment ID: I20240415000425 |
Healing Waters Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 S Foch St, Truth Or Consequences, NM 87901 Phone: 575-647-8366 Fax: 575-647-8381 | |
Sierra Vista Community Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 505-894-2111 Fax: 505-894-7659 | |
Ben Archer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1950 N Date St, Truth Or Consequences, NM 87901 Phone: 575-894-8057 Fax: 575-894-4018 | |
Joann Love Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Daniels St, Truth Or Consequences, NM 87901 Phone: 575-740-0427 Fax: 575-894-0777 | |
Sierra Vista Mobile Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 575-894-2111 Fax: 575-894-4999 |