LA CLINICA DE FAMILIA, INCORPORATED


Address: 100 W Griggs Ave, Las Cruces, NM 88001-1234
Phone: 5756472800

LA CLINICA DE FAMILIA, INCORPORATED (NPI# 1871973297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871973297
Entity Type Organization
Organization Name LA CLINICA DE FAMILIA, INCORPORATED
Practice Address 100 W Griggs Ave
Las Cruces
NM 88001-1234
Mailing Address 385 Calle De Alegra
Bldg. A
Las Cruces
NM 88005-3423
Practice Telephone 5756472800
Practice Fax Number 5755244266
Mailing Telephone 5755261105
Mailing Fax Number 5755244265
Enumeration Date 2015-06-01
Last Update Date 2017-05-25
Authorized Official Name VIRGIL MEDINA (CEO)
Authorized Official Telephone 5755261105
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC) 		Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM 29052289 05

Other Provider IDs and Locations

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
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
1003087867 La Clinica De Familia, Incorporated Social Worker 570 W Griggs Ave, Las Cruces, NM 88005-2604 2008-03-19

Office Location

Street Address 100 W GRIGGS AVE
City LAS CRUCES
State NM
Zip Code 88001-1234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407843766 Erika Lynn Thompson Social Worker 100 W Griggs Ave, Las Cruces, NM 88001 2005-10-03
1285247379 Alisa Mercedes Montoya Case Manager/Care Coordinator 100 W Griggs Ave, Las Cruces, NM 88001-1234 2020-08-28
1235748666 Ladonna Jo Leonard Social Worker 100 W Griggs Ave, Las Cruces, NM 88001-1234 2020-07-31
1518596915 Jade Nicole Jenkins Social Worker 100 W Griggs Ave, Las Cruces, NM 88001-1234 2020-04-07
1689201873 Angela Renee Fresquez Case Manager/Care Coordinator 100 W Griggs Ave, Las Cruces, NM 88001-1234 2020-03-26
1407496128 Jessica H Sheen Case Manager/Care Coordinator 100 W Griggs Ave, Las Cruces, NM 88001-1234 2020-01-10
1902443112 Julia Maxine Silverman Social Worker 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-12-06
1306482161 Stephanie Necole Reiss Peer Specialist 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-11-26
1902441280 Indhira Felicia Lozano Case Manager/Care Coordinator 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-11-11
1134764418 Steven Noel Adams Case Manager/Care Coordinator 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-11-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020044 Three Crosses Regional Hospital LLC General Acute Care Hospital 2560 Samaritan Drive, Las Cruces, NM 88001 2019-12-17
1760961908 Halcyon Health of The Southwest, LLC Nurse Practitioner 1355 California Ave Ste B, Las Cruces, NM 88001 2018-08-08
1255818530 Lago Claro, LLC Counselor 2410 S. Espina St, Las Cruces, NM 88001 2018-07-19
1407371818 Elijah Daniel Perez Behavior Technician 1535 Myrtle Ave, Las Cruces, NM 88001 2017-08-07
1982128641 Krystal Marie Ruiz Psychologist 505 S. Main, Ste. 249, Las Cruces, NM 88001 2017-08-03
1457886913 Mathew Petersen Dds PC Dentist 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 2017-04-21
1801343439 Celia Holmes Registered Nurse 505 S Main, Ste 249, Las Cruces, NM 88001 2016-09-01
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1679987234 Maria De Jesus Martinez Nurse Practitioner 1170 N. Solano Ste A, Las Cruces, NM 88001 2014-06-11
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
Find all providers in zip 88001

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1285141549 St. Luke's Health Care Clinic, Inc. Clinic/Center 999 W Amador Ave, Las Cruces, NM 88005-2739 2018-01-08
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
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

Competitor

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City LAS CRUCES
Zip Code 88001

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Dataset Information

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.

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