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).
| 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 |
| 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 Name | Type Code |
|---|---|
| La Familia Medical Center Health Care for the Homeless | Other Name - Individual/Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA FAMILIA MEDICAL CENTER | 1035 Alto St, Santa Fe, NM 87502-2406 |
| Street Address |
1532 CERRILLOS RD STE B |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316288251 | Mark Richmond | Counselor | 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 | 2013-03-01 |
| 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 |
| Find all providers in zip 87505 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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.