LA CLINICA DE FAMILIA, INC. (NPI# 1205809944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205809944 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INC. |
| Other Organization Name | LA CLINICA DE FAMILIA LAS CRUCES MEDICAL BLDG. B |
| Practice Address |
385 Calle De Alegra Bldg. B Las Cruces NM 88005-3423 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5755322044 |
| Practice Fax Number | 5755320807 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | VIRGIL MEDINA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5755261105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 78225 | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica De Familia Las Cruces Medical Bldg. B | Doing Business As Name - Organization |
| LCDF Las Cruces OBGYN - B | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1528443967 | La Clinica De Familia, Inc. | Clinic/Center | 2355 Avendia De Mesilla, Mesilla, NM 88046 | 2015-07-28 |
| 1639553928 | La Clinica De Familia, Inc. | Clinic/Center | 1950 Sonoma Ranch Blvd., Las Cruces, NM 88011 | 2015-07-16 |
| 1396718631 | La Clinica De Familia, Inc. | Clinic/Center | 18420 S Highway 28, La Mesa, NM 88044-9605 | 2006-02-08 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| 1528424397 | La Clinica De Familia, Inc. | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2016-01-11 |
| 1871889337 | La Clinica De Familia, Inc. | Clinic/Center | 510 E Lisa Dr, Bldg. 3, Chaparral, NM 88081-7809 | 2011-06-23 |
| 1083687115 | La Clinica De Familia, Inc. | Clinic/Center | 100 Airport Rd, Santa Teresa, NM 88008-9703 | 2006-02-09 |
| 1285607754 | La Clinica De Familia, Inc. | Clinic/Center | 8600 Bataan Memorial E, Las Cruces, NM 88011-6016 | 2006-02-07 |
| Street Address |
385 CALLE DE ALEGRA BLDG. B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933759 | Kathleen Jo Austin | Nurse Practitioner | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005 | 2005-06-21 |
| 1447799549 | Marie Montreal-robles | Marriage & Family Therapist | 385 Calle De Alegra, Bldg A, Las Cruces, NM 88005-3423 | 2017-02-22 |
| 1487000212 | Jorge Garcia | Case Manager/Care Coordinator | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 | 2016-05-11 |
| 1245624030 | Selene Mata | Dental Hygienist | 385 Calle De Alegra, Building C, Las Cruces, NM 88005-3423 | 2015-03-19 |
| 1275940439 | Daniel Fierro | Social Worker | 385 Calle De Alegra, Bldg A, Las Cruces, NM 88005-3423 | 2014-07-18 |
| 1518214428 | Naryana Rao Enuganti | Dentist | 385 Calle De Alegra, Bldg C, Las Cruces, NM 88005 | 2012-08-09 |
| 1467663278 | La Clinica De Familia | Pharmacy | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005 | 2007-05-24 |
| 1346213808 | La Clinica De Familia, Incorporated | Clinic/Center | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005-3423 | 2006-02-07 |
| 1740286863 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1639553928 | La Clinica De Familia, Inc. | Clinic/Center | 1950 Sonoma Ranch Blvd., Las Cruces, NM 88011 | 2015-07-16 |
| 1427330513 | Ben Archer Health Center | Clinic/Center | 1998 Motel Blvd, Las Cruces, NM 88007 | 2011-09-14 |
| 1285141549 | St. Luke's Health Care Clinic, Inc. | Clinic/Center | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2018-01-08 |
| 1528424397 | La Clinica De Familia, Inc. | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2016-01-11 |
| 1073993200 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1639559891 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1164802310 | La Clinica De Familia, Incorporated | Clinic/Center | 105 W Griggs Ave, Las Cruces, NM 88001 | 2015-06-03 |
| 1871973297 | La Clinica De Familia, Incorporated | Clinic/Center | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2015-06-01 |
| 1699105320 | Ben Archer Health Center | Clinic/Center | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-15 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.