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Contact Information

LA CLINICA DE FAMILIA, INCORPORATED
575 S ALAMEDA BLVD
LAS CRUCES, NM88005-2818
 Phone: 575-647-2891
 Fax: 575-674-2901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for LA CLINICA DE FAMILIA, INCORPORATED

NPI # 1255711255
LBN Legal business name LA CLINICA DE FAMILIA, INCORPORATED
Authorized official VIRGIL MEDINA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2015
Last updated 03/26/2020 - About 6 years ago
Identifiers
NM Medicaid 84274557
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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