Healthcare Provider Details

I. General information

NPI: 1932056876
Provider Name (Legal Business Name): HIGH DESERT WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S MAIN ST
LAS CRUCES NM
88005-3797
US

IV. Provider business mailing address

3201 S MAIN ST STE C
LAS CRUCES NM
88005-3797
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-8378
  • Fax: 575-652-3149
Mailing address:
  • Phone: 575-522-8378
  • Fax: 575-652-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CRIM PINHEIRO
Title or Position: CHIEF OPERATIONS OFFICER
Credential: PA-C
Phone: 575-522-8378