LA FAMILIA MEDICAL CENTER (NPI# 1346251782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346251782 |
| Entity Type | Organization |
| Organization Name | LA FAMILIA MEDICAL CENTER |
| Practice Address |
1035 Alto St Santa Fe NM 87501-2406 |
| Practice Telephone | 5059824425 |
| Practice Fax Number | 5059828440 |
| Mailing Telephone | 5059824425 |
| Mailing Fax Number | 5059828440 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | TRSIH A SANDOVAL (BILLING/COLLECTIONS MANAGER) |
| Authorized Official Telephone | 5059826205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
321804 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | F8002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740717743 | La Familia Medical Center | Clinic/Center | 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 | 2017-05-22 |
| 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 |
| 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 |
1035 ALTO ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279266 | Bridget Cornell Andrew | Physician Assistant | 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406 | 2005-07-15 |
| 1679009666 | Bethany Richards | Family Medicine | 1035 Alto St, Santa Fe, NM 87501-2406 | 2017-05-11 |
| 1588106363 | Kimberly M Lopez | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2016-11-10 |
| 1841661220 | Sue E Minturn | Health Educator | 1035 Alto St, Santa Fe, NM 87501-2406 | 2015-10-12 |
| 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 |
| 1245641836 | Susan Frances Griggs | Nurse Practitioner | 1035 Alto St, Santa Fe, NM 87501-2406 | 2014-05-16 |
| 1376986620 | Paula A Summar | Counselor | 1035 Alto St, Santa Fe, NM 87501-2406 | 2013-04-16 |
| 1295091007 | Lauren Elyse Waltersdorf | Family Medicine | 1035 Alto St, Santa Fe, NM 87501-2406 | 2012-04-05 |
| 1700162344 | Laura M Mccann | Dietitian, Registered | 1035 Alto St, Santa Fe, NM 87501-2406 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| 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 |
| 1740717743 | La Familia Medical Center | Clinic/Center | 1532 Cerrillos Rd Ste B, Santa Fe, NM 87505-3512 | 2017-05-22 |
| 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 |
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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.