La Clinica De Familia, Incorporated in Anthony - Federally Qualified Health Center (fqhc)

La Clinica De Familia, Incorporated - NPI 1699748921

La Clinica De Familia, Incorporated is a Federally Qualified Health Center (fqhc) in Anthony, 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 1699748921. The last update date is 2020-01-28.

La Clinica De Familia, Incorporated's current location address is 855 Anthony Dr, Anthony, New Mexico. You can contact this provider via phone number 5758825706 and fax number 5758822909. The mailing address for La Clinica De Familia, Incorporated is 855 Anthony Dr, Anthony, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization La Clinica De Familia, Incorporated
Address 855 Anthony Dr, Anthony, New Mexico
Phone Number 5758825706
Fax Number 5758822909
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Medina Virgil
Telephone Number 5755261105

NPI Number Detail

NPI Number 1699748921
Provider Enumeration Date 2006-02-08
Last Updated Date 2020-01-28

Provider Mailing Address Detail

Address 855 Anthony Dr
City Anthony
State New Mexico (NM)
Post Code 880219325
Phone Number 5758825706
Fax Number 5758822909

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
48025 NM --

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FAQs about La Clinica De Familia, Incorporated

What is the unique 10-digit identifier code issued to La Clinica De Familia, Incorporated by the Centers for Medicare & Medicaid Services?

The La Clinica De Familia, Incorporated has been assigned the NPI (National Provider Identifier) 1699748921 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where La Clinica De Familia, Incorporated's facilities are situated?

The facilities of La Clinica De Familia, Incorporated are physically located at the following address: 855 Anthony Dr, Anthony, NM, 880219325.

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 1699748921?

The La Clinica De Familia, Incorporated was issued its 1699748921 on 2006-02-08, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to La Clinica De Familia, Incorporated most recently updated or revised?

The information pertaining to La Clinica De Familia, Incorporated, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-28.

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