LA CLINICA DE FAMILIA, INCORPORATED (NPI# 1255711255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255711255 |
| Entity Type | Organization |
| Organization Name | LA CLINICA DE FAMILIA, INCORPORATED |
| Practice Address |
575 S Alameda Blvd Las Cruces NM 88005-2818 |
| Mailing Address |
385 Calle De Alegra Bldg A Las Cruces NM 88005-3423 |
| Practice Telephone | 5756472891 |
| Practice Fax Number | 5756742901 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2020-03-26 |
| 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 | 253J00000X | Foster Care Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 84274557 | 05 |
| 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 |
| 1033599022 | La Clinica De Familia, Incorporated | Clinic/Center | 826 Anthony Dr., Anthony, NM 88021-9346 | 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 |
575 S ALAMEDA BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892385 | Francis Toby Casci | Dentist | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2005-06-21 |
| 1740889153 | Fabiola Garcia | Case Manager/Care Coordinator | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2020-10-19 |
| 1063030393 | Rafael Gonzalez Rascon | Dentist | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2020-07-13 |
| 1497394969 | Sergio Andres Gonzales | Case Manager/Care Coordinator | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2020-01-02 |
| 1013561042 | William Edward Heidenreich | Social Worker | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2019-07-29 |
| 1588216428 | Cynthia Coba | Marriage & Family Therapist | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2019-07-11 |
| 1043862170 | Victoria Compean | Social Worker | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2019-07-09 |
| 1538632922 | Caitlin Eileen Talty | Social Worker | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2019-01-08 |
| 1871091876 | Annette Michelle Golucke | Nurse Practitioner | 575 S Alameda Blvd, Las Cruces, NM 88005 | 2018-01-25 |
| 1609397322 | Elizabeth C Solorzano | Technician, Other | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2017-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851434138 | High Desert Family Services, Inc. | Foster Care Agency | 7001 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2007-02-15 |
| 1295392231 | Stepping Stone | Foster Care Agency | 3320 Coors Blvd Nw, Albuquerque, NM 87120-1717 | 2019-05-24 |
| 1679137178 | Arca | Foster Care Agency | 1503 4th St Nw, Albuquerque, NM 87102-1420 | 2019-04-30 |
| 1932569514 | Behavioral Healthcare Services, Inc. | Foster Care Agency | 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 | 2016-02-25 |
| 1891955100 | Hogares Inc | Foster Care Agency | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2008-06-10 |
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on LA CLINICA DE FAMILIA, INCORPORATED.
| 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.