La Clinica De Familia, Incorporated in Sunland Park - Federally Qualified Health Center (fqhc)
La Clinica De Familia, Incorporated - NPI 1730152281
La Clinica De Familia, Incorporated is a Federally Qualified Health Center (fqhc) in Sunland Park, 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 1730152281. The last update date is 2020-06-01.
La Clinica De Familia, Incorporated's current location address is 2625 Mcnutt Rd, Sunland Park, New Mexico. You can contact this provider via phone number 5755890887 and fax number 5755890898. The mailing address for La Clinica De Familia, Incorporated is 2625 Mcnutt Rd, Sunland Park, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De Familia, Incorporated |
|---|---|
| Address | 2625 Mcnutt Rd, Sunland Park, New Mexico |
| Phone Number | 5755890887 |
| Fax Number | 5755890898 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Medina Virgil |
| Telephone Number | 5755261105 |
NPI Number Detail
| NPI Number | 1730152281 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2020-06-01 |
Provider Mailing Address Detail
| Address | 2625 Mcnutt Rd |
|---|---|
| City | Sunland Park |
| State | New Mexico (NM) |
| Post Code | 880639019 |
| Phone Number | 5755890887 |
| Fax Number | 5755890898 |
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 |
|---|---|---|---|
| 47552 | NM | -- |
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What is the unique 10-digit identification 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) 1730152281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the La Clinica De Familia, Incorporated located?
The La Clinica De Familia, Incorporated is located at 2625 Mcnutt Rd, Sunland Park, NM 880639019.
What is La Clinica De Familia, Incorporated's specialized field of practice, and what is the corresponding taxonomy classification code?
The La Clinica De Familia, Incorporated's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When did the La Clinica De Familia, Incorporated receive its 1730152281?
The La Clinica De Familia, Incorporated was issued its 1730152281 on 2006-02-07, 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 2020-06-01.