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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1376498014
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA CLINICA DE FAMILIA, INCORPORATED
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA BLDG A
Second Line :
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 : 1955 N VALLEY DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-5154
Country : US
Telephone Number : 575-459-1771
Fax Number : 855-538-1686
Authorized Official
Title or Position : CEO
Name : VIRGIL MEDINA
Credential :
Telephone Number : 575-526-1105
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

Similar Medicare Providers

1316243736 — SHANNON L RODRIGUEZ CNS
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 575-523-2772
Practice Fax: 575-524-2993
1588936223 — CARYN KOHLRUST ATC, LAT
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 505-412-5112
Practice Fax:
1295164671 — ANN BODEN LPCC
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 575-523-2772
Practice Fax: 575-524-2993
1699105320 — BEN ARCHER HEALTH CENTER
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 575-267-3280
Practice Fax: 575-267-1747
1720409832 — MRS. SHAWNA BAILEY RN
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 575-527-9415
Practice Fax: 575-527-9420
1821411679 — JACQUELINE RIVERS LMFT
Practice Location Address:
1955 N VALLEY DR
LAS CRUCES, NM
88007-5154
Practice Phone: 575-523-2772
Practice Fax: 575-524-2993

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.