LA CLINICA DE FAMILIA, INC. (NPI# 1528443967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528443967 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INC. |
| Other Organization Name | RIO GRANDE SCHOOL BASE |
| Practice Address |
2355 Avendia De Mesilla Mesilla NM 88046 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5755261105 |
| Practice Fax Number | 5755244266 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | VIRGIL MEDINA (CEO) |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 52334520 | 05 | |
| NM | MEDICARE | 321945 | 01 |
| Other Name | Type Code |
|---|---|
| Rio Grande School Base | 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 |
| 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 |
| 1205809944 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. B, Las Cruces, NM 88005-3423 | 2006-02-13 |
| 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 |
2355 AVENDIA DE MESILLA |
| City | MESILLA |
| State | NM |
| Zip Code | 88046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269061 | Anxiety Treatment Center of The Southwest | Marriage & Family Therapist | 1730 Tierra De Mesilla, Mesilla, NM 88046 | 2016-04-05 |
| 1124449749 | Richard Lucero | Case Manager/Care Coordinator | 2371 Calle De Santiago, Mesilla, NM 88046 | 2013-12-27 |
| 1992844989 | Adrian A Michael | Internal Medicine | 1770 Tierra De Mesilla, La Mesilla, NM 88046 | 2007-02-06 |
| 1235135690 | Sidney Farrington Webb | Internal Medicine | Onate Plaza, Suite 7, Mesilla, NM 88046 | 2005-06-21 |
| 1326469941 | Terry Lucero | Case Manager/Care Coordinator | 2371 Calle De Santiago, Mesilla, NM 88046 | 2013-12-27 |
| 1790041168 | Arthritis Treatment Specialists, LLC | Internal Medicine | 1770 Tierra De Mesilla, La Mesilla, NM 88046 | 2012-04-10 |
| 1699968586 | Pablo Rocha | Psychologist | 4950 Mcnutt Rd, Sunland Park, NM 88046 | 2007-08-23 |
| 1053504944 | Pollie Toren | Speech-Language Pathologist | 4950 Mcnutt Rd, Sunland Park, NM 88046 | 2007-08-23 |
| 1093774861 | Elaine Orabona Foster | Psychologist | 2488 Calle De Guadalupe, Mesilla, NM 88046-0594 | 2006-03-21 |
| 1477165629 | Lisa C. Pena | Midwife | 2110 Calle De San Albino, Mesilla, NM 88046-8804 | 2020-08-19 |
| Find all providers in zip 88046 | ||||
| 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 |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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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.