LA FAMILIA MEDICAL CENTER


Address: 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512
Phone: 5059881742

LA FAMILIA MEDICAL CENTER (NPI# 1740717743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740717743
Entity Type Organization
Organization Name LA FAMILIA MEDICAL CENTER
Other Organization Name LA FAMILIA MEDICAL CENTER HEALTH CARE FOR THE HOMELESS
Practice Address 1532 Cerrillos Rd Ste B
Santa Fe
NM 87505-3512
Mailing Address Po Box 5395
Santa Fe
NM 87502-5395
Practice Telephone 5059881742
Mailing Telephone 5056294714
Mailing Fax Number 5059828440
Enumeration Date 2017-05-22
Last Update Date 2017-05-31
Authorized Official Name MR. JAY P JOLLY (CEO)
Authorized Official Telephone 5059824599
Authorized Official Credential FACHE
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
La Familia Medical Center Health Care for the Homeless Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477922409 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2015-09-21
1710384383 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2014-11-26
1336437672 La Familia Medical Center Dentist 6401 S Richards Ave, Santa Fe, NM 87508-4887 2011-07-20
1811059322 La Familia Medical Center Clinic/Center 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2006-12-14
1710049218 La Familia Medical Center Dentist 2145 Caja Del Oro Grant Rd, Santa Fe, NM 87507-3279 2006-12-14
1346251782 La Familia Medical Center Dentist 1035 Alto St, Santa Fe, NM 87501-2406 2006-08-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LA FAMILIA MEDICAL CENTER 1035 Alto St, Santa Fe, NM 87502-2406

Office Location

Street Address 1532 CERRILLOS RD STE B
City SANTA FE
State NM
Zip Code 87505-3512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316288251 Mark Richmond Counselor 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 2013-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417440777 Las Clinicas Del Norte Incorporated Clinic/Center 1797b St. Rd 502, Santa Fe, NM 87506 2018-06-12
1114094547 Presbyterian Medical Services Clinic/Center 4851 Paseo Del Sol, Santa Fe, NM 87507-3027 2006-11-29
1851741359 Presbyterian Medical Services Clinic/Center 2504 Camino Entrada, Santa Fe, NM 87507-4851 2016-06-15
1477922409 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2015-09-21
1710384383 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2014-11-26
1811059322 La Familia Medical Center Clinic/Center 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2006-12-14
1508945627 Presbyterian Medical Services Clinic/Center 501 Airport Rd, Santa Fe, NM 87507-2876 2006-11-02
1124134028 Presbyterian Medical Services Clinic/Center 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6353 2006-08-22

Providers in the same taxonomy and state

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
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
1487026563 Ben Archer Health Center Clinic/Center 3331 Del Rey Blvd., Las Cruces, NM 88012 2015-10-28
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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