Organization · Type 2 NPI

La Clinica de Familia, Incorporated

Federally Qualified Health Center (FQHC) · Sunland Park, NM

NPI number 1730152281 Active

Practice location

2625 Mcnutt Rd
Sunland Park, NM 88063-9019

Call (575) 589-0887 Map

Fax (575) 589-0898

Mailing address

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

Other practice locations

2625 Mcnutt Rd Ste B, Sunland Park, NM 88063-9608 · (575) 589-0887

Specialties and licenses

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

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

16 other providers at this address

NPI record

NPI: 1730152281
Entity type: Organization (Type 2)
Issued: Feb 7, 2006
Last updated: Jun 1, 2020
Status: Active

Other names

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La Clinica de Familia Sunland Park · doing business as
La Clinica de Familia Sunland Park · doing business as

Authorized official

Virgil Medina
Chief Executive Officer
(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 1730152281

La Clinica de Familia, Incorporated's National Provider Identifier is 1730152281, issued on Feb 7, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sunland Park, NM. The record was last updated on Jun 1, 2020.