institution
La Clinica De Familia, Incorporated
Federally Qualified Health Center (FQHC) in Santa Teresa, New Mexico
NPI 1083687115

La Clinica De Familia, Incorporated is a Federally Qualified Health Center (FQHC) based in Las Cruces, NM and is specialized in Federally Qualified Health Center (FQHC). La Clinica De Familia, Incorporated practices in Santa Teresa, NM. The NPI Number for La Clinica De Familia, Incorporated is 1083687115 and holds a License No. (New Mexico).

The current practice location address for La Clinica De Familia, Incorporated is 100 Airport Rd, Santa Teresa, NM and can be reached out via phone at 575-874-9338 and via fax at 575-874-9338.

Location: 100 Airport Rd, Santa Teresa, NM, 88005-3423
institution
Provider Profile Details
NPI Number
1083687115
Provider Name
La Clinica De Familia, Incorporated
Credential
Provider Entity Type
Organization
Address
100 Airport Rd, Santa Teresa, NM, 88005-3423
Phone Number
575-874-9338
Fax Number
575-874-9338
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
94479712 05 NM
321946 01 NM MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Airport Rd
City
State
Zip
88008-9703
Phone Number
575-874-9338
Fax Number
575-874-9338
person
Provider Business Mailing Address Details
Address
100 Airport Rd
City
State
Zip
88008-9703
Phone Number
575-874-9338
Fax Number
575-874-9338
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(New Mexico)
Definition
Definition to come...
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