Organization · Type 2 NPI

La Clinica de Familia, Incorporated

Federally Qualified Health Center (FQHC) · Anthony, NM

NPI number 1114578671 Active

Practice location

100 Shrode Rd
Anthony, NM 88021-7350

Call (575) 526-1105 Map

Fax (575) 524-4266

Mailing address

385 Calle De Alegra Ste A
Las Cruces, NM 88005-3423

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

La Clinica de Familia, IncorporatedCommunity/Behavioral Health Agency Anthony, NM NPI 1205708492
Jocelyn Nicole NealSchool Registered Nurse Anthony, NM NPI 1649804527

Other federally qualified health center (fqhc) providers in Anthony

See all in Anthony →

NPI record

NPI: 1114578671
Entity type: Organization (Type 2)
Issued: Sep 26, 2019
Last updated: May 13, 2021
Status: Active

Other names

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LCDF Desert Pride School Base · doing business as
LCDF Desert Pride School Base · doing business as

Authorized official

Virgil Medina
CEO
(575) 526-1105

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114578671

La Clinica de Familia, Incorporated's National Provider Identifier is 1114578671, issued on Sep 26, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Anthony, NM. The record was last updated on May 13, 2021.