LA CLINICA DE FAMILIA, INC. (NPI# 1871889337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871889337 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INC. |
| Other Organization Name | LA CLINICA DE FAMILIA CHAPARRAL DENTAL |
| Practice Address |
510 E Lisa Dr Bldg. 3 Chaparral NM 88081-7809 |
| Mailing Address |
385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 |
| Practice Telephone | 5758240128 |
| Practice Fax Number | 5758240179 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2011-06-23 |
| 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 | 66234743 | 05 |
| Other Name | Type Code |
|---|---|
| La Clinica De Familia Chaparral Dental | 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 |
| 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 |
510 E LISA DR BLDG. 3 |
| City | CHAPARRAL |
| State | NM |
| Zip Code | 88081-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508838004 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2006-02-07 |
| 1205470192 | Carleen Covington | Dental Hygienist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-11-04 |
| 1801448964 | Tanya Sue Maestas | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2019-07-09 |
| 1063953859 | Bertha Martinez | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081 | 2017-03-14 |
| 1144768417 | Leasette Marie Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081 | 2017-02-07 |
| 1730630633 | Mary Baddour | Dentist | 510 E Lisa Dr, Chaparral, NM 88081 | 2016-10-17 |
| 1801240452 | Monica Hernandez | Social Worker | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2016-04-20 |
| 1528476488 | Kapil Mangla | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2014-07-23 |
| 1629333091 | Bharani Kumar Bhattu | Dentist | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2012-07-11 |
| 1811274863 | Jennifer Nkemamaka Nwaogu | Nurse Practitioner | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2011-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017832 | Apothecary Pharmacy PC | Pharmacy | 550 E. Lisa Ste C, Chaparral, NM 88081 | 2017-04-16 |
| 1134577430 | Carole Decastro | Registered Nurse | 800 County Line Rd., Chaparral, NM 88081 | 2016-05-26 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1174845143 | Presbyterian Medical Services | Clinic/Center | 204 Angelina Blvd., Chaparral, NM 88081 | 2010-02-18 |
| 1407094980 | The Community Foundation of Southern New Mexico | Clinic/Center | 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 | 2009-01-22 |
| 1922210764 | Homer Avalos Avalos | Counselor | 336 Geronimo, Chapparal, NM 88081 | 2007-05-04 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| 1720281355 | Lessons From Horses, Inc. | Counselor | 2765 Green Tree Loop, Chaparral, NM 88081-7380 | 2007-06-10 |
| 1750693198 | Belem Selene Calzadillas-perez | Case Manager/Care Coordinator | 696 Sunny Sands Dr, Chaparral, NM 88081-7422 | 2010-07-13 |
| 1093017287 | Natalie Aurelia Sutton | Specialist | 647 Tumbleweed Rd, Chaparral, NM 88081-7428 | 2010-11-22 |
| Find all providers in zip 88081 | ||||
| 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 |
|---|---|---|---|---|
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1508838004 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr, Chaparral, NM 88081-7809 | 2006-02-07 |
| 1962862938 | La Clinica De Familia, Inc. | Clinic/Center | 800 S County Line Dr, Chaparral, NM 88081 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 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 |
| 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.