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 | -- |
Post Comment/ Review Below
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.