ST. LUKE'S HEALTH CARE CLINIC, INC. (NPI# 1285141549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285141549 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HEALTH CARE CLINIC, INC. |
| Practice Address |
999 W Amador Ave Las Cruces NM 88005-2739 |
| Mailing Address |
Po Box 2243 Las Cruces NM 88004-2243 |
| Practice Telephone | 5755275482 |
| Practice Fax Number | 5755253542 |
| Mailing Telephone | 5755569681 |
| Mailing Fax Number | 5755253542 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | PAMELA L ANGELL (CEO) |
| Authorized Official Telephone | 5755569681 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. LUKE'S HEALTH CARE CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6350 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 76632873 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700178167 | St. Luke's Health Care Clinic, Inc. | Clinic/Center | 999 W Amador Ave Ste D, Las Cruces, NM 88005-2739 | 2011-05-04 |
| Street Address |
999 W AMADOR AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649340993 | Roselind Renee Williams | Nurse Practitioner | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2006-11-08 |
| 1699337873 | Jesus Ramirez | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-07-08 |
| 1679139554 | Erin Kristine Underwood | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-05-15 |
| 1730742412 | Simona A Chacon | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-04-17 |
| 1609439462 | Jack Sullivan Turney | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-04-17 |
| 1629631494 | Isaac Trevino Jr. | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-04-17 |
| 1851954770 | Richard A Wright | Community Health Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2019-04-16 |
| 1295215408 | Mesilla Valley Community of Hope | Community/Behavioral Health | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2018-08-16 |
| 1124577903 | Jeanette Valdez | Social Worker | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2016-09-22 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 1639553928 | La Clinica De Familia, Inc. | Clinic/Center | 1950 Sonoma Ranch Blvd., Las Cruces, NM 88011 | 2015-07-16 |
| 1427330513 | Ben Archer Health Center | Clinic/Center | 1998 Motel Blvd, Las Cruces, NM 88007 | 2011-09-14 |
| 1528424397 | La Clinica De Familia, Inc. | Clinic/Center | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2016-01-11 |
| 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 |
| 1699105320 | Ben Archer Health Center | Clinic/Center | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-15 |
| 1205809944 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. B, Las Cruces, NM 88005-3423 | 2006-02-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on ST. LUKE'S HEALTH CARE CLINIC, INC..
| 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.