DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LA CLINICA DE FAMILIA, INCORPORATED

MEDICARE: LA CLINICA DE FAMILIA, INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22370905OTHERNMMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164802310
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA CLINICA DE FAMILIA, INCORPORATED
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA
Second Line : BLDG. A
City : LAS CRUCES
State : NM
Zip : 88005-3423
Country : US
Telephone Number : 575-526-1105
Fax Number : 575-524-4266
Provider Business Practice Location Address
First Line : 760 N MOTEL BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-4169
Country : US
Telephone Number : 575-647-2878
Fax Number : 575-524-4266
Authorized Official
Title or Position : CEO
Name : VIRGIL MEDINA
Credential :
Telephone Number : 575-526-1105
Provider Enumeration Date : 06/03/2015
Last Update Date : 09/07/2021

Similar Medicare Providers

1659238392 — MICHAEL JON WALLACE CPSW
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861
1598088619 — CORINA PRECIADO LSAA
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861
1417398298 — RANJANA VERMA PMHNP-BC, MD
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861
1225450299 — MRS. MICHELLE ADRIANA HERNANDEZ LMSW
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861
1750776555 — SUSAN BROWN PMHNP
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861
1073970281 — OSCAR ALVAREZ-REYES LMFT
Practice Location Address:
760 N MOTEL BLVD
LAS CRUCES, NM
88007-4169
Practice Phone: 575-527-7975
Practice Fax: 575-674-2861

Directions to “LA CLINICA DE FAMILIA, INCORPORATED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.