Organization · Type 2 NPI

La Clinica de Familia, Incorporated

Federally Qualified Health Center (FQHC) · Chaparral, NM

NPI number 1508838004 Active

Practice location

510 E Lisa Dr
Chaparral, NM 88081-7809

Call (575) 824-0820 Map

Fax (575) 824-1021

Mailing address

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

Other practice locations

510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 · (575) 824-0820

Specialties and licenses

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

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

20 other providers at this address

Other federally qualified health center (fqhc) providers in Chaparral

See all in Chaparral →

NPI record

NPI: 1508838004
Entity type: Organization (Type 2)
Issued: Feb 7, 2006
Last updated: Jun 1, 2020
Status: Active

Other names

<unavail>
La Clinica de Familia Chaparral Medical · doing business as
La Clinica de Familia Chaparral Medical · doing business as

Authorized official

Virgil Medina
Chief Executive Officer
(575) 526-1105

Verify this record

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.

Is this your record? How to update it.

About NPI 1508838004

La Clinica de Familia, Incorporated's National Provider Identifier is 1508838004, issued on Feb 7, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chaparral, NM. The record was last updated on Jun 1, 2020.