LA FAMILIA MEDICAL CENTER NPI 1740717743

NPI Information

LA FAMILIA MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Santa Fe, NM. LA FAMILIA MEDICAL CENTER NPI is 1740717743. The provider is registered as an organization entity type.
The provider Other Name Is La Familia Medical Center Health Care For The Homeless.

The provider's business location address is:

1532 CERRILLOS RD STE B
SANTA FE, NM
ZIP 87505-512
Phone: (505) 988-1742

The provider's authorized official is Julie Kay Wright .
The authorized official title is Chief Executive Officer and has the following contact phone number (505) 982-4599.

The CLIA number assigned to this NPI record is 32D2099384 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 6/9/2023.

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:

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