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LA FAMILIA MEDICAL CENTER NPI 1811059322


NPI Information

NPI: 1811059322
Provider Name: LA FAMILIA MEDICAL CENTER

Doing Business As: LA FAMILIA HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
455 SAINT MICHAELS DR
SANTA FE, NM
ZIP 87505
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 1811059322. The provider is registered as an organization entity type.
The provider Is Doing Business As La Familia Health.

The provider's business location address is:

455 SAINT MICHAELS DR
SANTA FE, NM
ZIP 87505-601
Phone: (505) 982-4425
Fax: (505) 982-6280

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) 982-4425.

The enumeration date for this NPI number is 12/14/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z1678MEDICAIDNEW 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

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