LA CLINICA DE FAMILIA, INCORPORATED (NPI# 1033599022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033599022 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INCORPORATED |
| Other Organization Name | ANTHONY BEHAVIORAL HEALTH CENTER |
| Practice Address |
826 Anthony Dr. Anthony NM 88021-9346 |
| Mailing Address |
385 Calle De Alegra Bldg A Las Cruces NM 88005-3423 |
| Practice Telephone | 5752015136 |
| Practice Fax Number | 5755244266 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | VIGIL 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 | 61386561 | 05 | |
| NM | MEDICARE | 2370905 | 01 |
| Other Name | Type Code |
|---|---|
| Anthony Behavioral Health Center | Doing Business As Name - Organization |
| 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 |
| 1730152281 | La Clinica De Familia, Incorporated | Clinic/Center | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2006-02-07 |
| 1962047506 | La Clinica De Familia, Incorporated | Clinic/Center | 2625 Mcnutt Rd Ste B, Sunland Park, NM 88063-9608 | 2019-11-07 |
| 1255711255 | La Clinica De Familia, Incorporated | Foster Care Agency | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-04 |
| 1073993200 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1639559891 | La Clinica De Familia, Incorporated | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-03 |
| 1164802310 | La Clinica De Familia, Incorporated | Clinic/Center | 105 W Griggs Ave, Las Cruces, NM 88001 | 2015-06-03 |
| 1871973297 | La Clinica De Familia, Incorporated | Clinic/Center | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2015-06-01 |
| 1003087867 | La Clinica De Familia, Incorporated | Social Worker | 570 W Griggs Ave, Las Cruces, NM 88005-2604 | 2008-03-19 |
| Street Address |
826 ANTHONY DR. |
| City | ANTHONY |
| State | NM |
| Zip Code | 88021-9346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025513 | Rebecca M. Guler | Counselor | 826 Anthony Dr., Anthony, NM 88021 | 2007-03-02 |
| 1073173472 | Cesar Lorenzo Rios | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-06-18 |
| 1992363675 | Leticia Clemencia Quezada | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-05-29 |
| 1326512716 | Maribel Ramirez | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-01-18 |
| 1194299792 | Cesar Rodriguez | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-01-16 |
| 1205303567 | Erin Maria Mcguinness | Social Worker | 826 Anthony Dr., Anthony, NM 88021 | 2018-10-25 |
| 1245706514 | Sandra Montalvo | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2018-10-15 |
| 1861974024 | Fernando Javier Guillen Sr. | Registered Nurse | 826 Anthony Dr., Anthony, NM 88021 | 2018-09-05 |
| 1821580507 | Leslie Zarahi Montoya | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2018-05-30 |
| 1194246462 | Ada Del Carmen Salazar | Social Worker | 826 Anthony Dr., Anthony, NM 88021 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1023524261 | Roxana Mercado | Counselor | 785 Anthony Dr, Anthony, NM 88021 | 2017-12-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1336558360 | Anahi Marquez | Social Worker | 92 Shrode Road, Anthony, NM 88021 | 2014-08-04 |
| 1649692211 | Michael Torres | Case Manager/Care Coordinator | 3150 Anthony Rd Hwy 460, Anthony, NM 88021 | 2014-01-15 |
| 1396167243 | Laura Ceniceros | Case Manager/Care Coordinator | 80 Dos Amigos Road, Anthony, NM 88021 | 2014-01-13 |
| 1174951834 | La Frontera Center Inc. Dba La Frontera New Mexico Inc | Clinic/Center | 880 N. Main St, Suite 3a, Anthony, NM 88021 | 2013-10-16 |
| 1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
| 1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
| Find all providers in zip 88021 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1528443967 | La Clinica De Familia, Inc. | Clinic/Center | 2355 Avendia De Mesilla, Mesilla, NM 88046 | 2015-07-28 |
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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.