Provider Type Icon

LA CLINICA DE FAMILIA INCORPORATED NPI 1255711255


NPI Information

NPI: 1255711255
Provider Name: LA CLINICA DE FAMILIA, INCORPORATED
Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
575 S ALAMEDA BLVD
LAS CRUCES, NM
ZIP 88005
Phone: (575) 647-2891
Get Directions

LA CLINICA DE FAMILIA, INCORPORATED is a foster care agency in Las Cruces, NM. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. LA CLINICA DE FAMILIA, INCORPORATED NPI is 1255711255. The provider is registered as an organization entity type.

The provider's business location address is:

575 S ALAMEDA BLVD
LAS CRUCES, NM
ZIP 88005-818
Phone: (575) 647-2891
Fax: (575) 674-2901

The provider's authorized official is Virgil Medina .
The authorized official title is Ceo and has the following contact phone number (575) 526-1105.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 3/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253J00000XFoster Care AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
184274557MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.