LA FAMILIA PRIMARY CARE P C (NPI# 1366525537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366525537 |
Entity Type | Organization |
Organization Name | LA FAMILIA PRIMARY CARE P C |
Practice Address |
190 Hospital Dr Raton NM 87740-2002 |
Practice Telephone | 5754455563 |
Practice Fax Number | 5754455566 |
Mailing Telephone | 5754455563 |
Mailing Fax Number | 5754455566 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2019-06-26 |
Authorized Official Name | MISBAH D ZMILY (OWNERPRESIDENT) |
Authorized Official Telephone | 5054455563 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 96-165 | NM | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | R.R. MEDICARE | 607623110P | 01 |
NM | 56903 | 05 |
Street Address |
190 HOSPITAL DR |
City | RATON |
State | NM |
Zip Code | 87740-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758634 | Zia Healthcare Services LLC | Clinical Nurse Specialist | 190 Hospital Dr, Raton, NM 87740-2002 | 2020-04-06 |
1912383001 | La Familia Primary Care | Preferred Provider Organization | 190 Hospital Dr, Raton, NM 87740-2002 | 2015-07-31 |
1306132899 | Aileen C Romero | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2011-06-22 |
1285735332 | Misbah Darweesh Zmily | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-25 |
1194822122 | Mark H Bayliss | Physician Assistant | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-20 |
1053387282 | Hugh Edward Naylor IIi | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-02-27 |
1609873355 | Marcia Louise Hefker | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
Find all providers in zip 87740 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902143977 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2013-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
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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.