SOUTHERN NEW MEXICO DIABETES OUTREACH; NPI #1063304921

Contact Information

SOUTHERN NEW MEXICO DIABETES OUTREACH

506 S MAIN ST STE 700
LAS CRUCES, NM 88001-1237

Phone: 575-522-0289
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diabetes Educator	163WD0400X
Community Health Worker	172V00000X
Health Educator	174H00000X

Indicates primary specialty

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NPI Profile & details for SOUTHERN NEW MEXICO DIABETES OUTREACH

NPI #	`1063304921`
LBN Legal business name	SOUTHERN NEW MEXICO DIABETES OUTREACH
Authorized official	SELENA GOMEZ - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/16/2025
Last updated	04/30/2026 - About a month ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHERN NEW MEXICO DIABETES OUTREACH

Contact Information

Specialty

Diabetes Educator

Community Health Worker

Health Educator

NPI Profile & details for SOUTHERN NEW MEXICO DIABETES OUTREACH

Reviews for SOUTHERN NEW MEXICO DIABETES OUTREACH