Organization · Type 2 NPI
De Baca Family Practice Clinic
Federally Qualified Health Center (FQHC) · Fort Sumner, NM
NPI number
1003855032
Active
Practice location
546 N. Tenth St
Fort Sumner, NM 88119
Mailing address
PO Box 349
Fort Sumner, NM 88119-0349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Fort Sumner
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About NPI 1003855032
De Baca Family Practice Clinic's National Provider Identifier is 1003855032, issued on Jun 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fort Sumner, NM. The record was last updated on Oct 14, 2025.