<Unavail>
LBN: La Clinica De Familia, Incorporated
<Unavail> is an health care organization with primary practice located at 855 Anthony Dr , Anthony NM 88021-9325. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
La Clinica De Familia, Incorporated can be contacted via phone (575) 882-5706, or through Medina, Virgil via phone (575) 526-1105.
Contact Information
Primary practice address
855 Anthony Dr
Anthony NM 88021-9325
Phone: (575) 882-5706
Fax: (575) 882-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | New Mexico |
Profile Details
| NPI number | 1699748921 |
|---|---|
| LBN Legal business name | La Clinica De Familia, Incorporated |
| DBA Doing business as | <Unavail> |
| Authorized official | Medina, Virgil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Sep 18th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699748921 | NPPES |
| New Mexico | MEDICAID | 48025 |
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