LA FAMILIA MEDICAL CENTER NPI 1710384383

NPI Information

NPI: 1710384383
Provider Name: LA FAMILIA MEDICAL CENTER

Other Name: ECHO CARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 32D2099387

Address:
1035 ALTO ST
SANTA FE, NM
ZIP 87501
Phone: (505) 982-4425
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LA FAMILIA MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Santa Fe, NM. LA FAMILIA MEDICAL CENTER NPI is 1710384383. The provider is registered as an organization entity type.
The provider Other Name Is Echo Care.

The provider's business location address is:

1035 ALTO ST
SANTA FE, NM
ZIP 87501-406
Phone: (505) 982-4425
Fax: (505) 982-8440

The provider's authorized official is Jay P. Jolly .
The authorized official title is Ceo and has the following contact phone number (505) 982-4425.

The CLIA number assigned to this NPI record is 32D2099387 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/26/2014 and was last updated on 11/26/2014.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	6308	NEW MEXICO	Yes

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

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