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LA CLINICA DE FAMILIA INCORPORATED NPI 1740286863


NPI Information

NPI: 1740286863
Provider Name: LA CLINICA DE FAMILIA, INCORPORATED
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
385 CALLE DE ALEGRA
BLDG. A
LAS CRUCES, NM
ZIP 88005
Phone: (575) 526-1105
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LA CLINICA DE FAMILIA, INCORPORATED is a federally qualified health center (fqhc) clinic center in Las Cruces, NM. LA CLINICA DE FAMILIA, INCORPORATED NPI is 1740286863. The provider is registered as an organization entity type.

The provider's business location address is:

385 CALLE DE ALEGRA
BLDG. A
LAS CRUCES, NM
ZIP 88005-423
Phone: (575) 526-1105
Fax: (575) 524-4266

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

The enumeration date for this NPI number is 6/23/2005 and was last updated on 5/13/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NEW MEXICOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
172545MEDICAIDNEW 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: 5/5/2024

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