La Clinica De Familia, Incorporated in Santa Teresa - Federally Qualified Health Center (fqhc)
La Clinica De Familia, Incorporated - NPI 1083687115
La Clinica De Familia, Incorporated is a Federally Qualified Health Center (fqhc) in Santa Teresa, New Mexico. La Clinica De Familia, Incorporated practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Clinica De Familia, Incorporated is 1083687115. The last update date is 2021-05-13.
La Clinica De Familia, Incorporated's current location address is 100 Airport Rd, Santa Teresa, New Mexico. You can contact this provider via phone number 5758749338 and fax number 5758749338. The mailing address for La Clinica De Familia, Incorporated is 100 Airport Rd, Santa Teresa, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De Familia, Incorporated |
|---|---|
| Address | 100 Airport Rd, Santa Teresa, New Mexico |
| Phone Number | 5758749338 |
| Fax Number | 5758749338 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Medina Virgil |
| Telephone Number | 5755261105 |
NPI Number Detail
| NPI Number | 1083687115 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 100 Airport Rd |
|---|---|
| City | Santa Teresa |
| State | New Mexico (NM) |
| Post Code | 880089703 |
| Phone Number | 5758749338 |
| Fax Number | 5758749338 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94479712 | NM | -- | |
| 321946 | NM | MEDICARE |
Post Comment/ Review Below
What is the La Clinica De Familia, Incorporated's unique identification number?
The La Clinica De Familia, Incorporated has been assigned the NPI (National Provider Identifier) Number 1083687115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the La Clinica De Familia, Incorporated located?
The La Clinica De Familia, Incorporated is located at 100 Airport Rd, Santa Teresa, NM 880089703.
What is La Clinica De Familia, Incorporated's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for La Clinica De Familia, Incorporated is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
When did the La Clinica De Familia, Incorporated receive its 1083687115?
The La Clinica De Familia, Incorporated was issued its 1083687115 on 2006-02-09, which is the date when the organization was assigned this unique identifier.
When was the information regarding La Clinica De Familia, Incorporated most recently updated?
The details pertaining to the La Clinica De Familia, Incorporated, including its address, specialty, and other relevant information, were last refreshed on 2021-05-13.