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Contact Information

LA FAMILIA PRIMARY CARE
190 HOSPITAL DR
RATON, NM87740-2002
 Phone: 575-445-5563
 Fax: 575-445-5566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for LA FAMILIA PRIMARY CARE

NPI Number 1912383001
LBN Legal business name LA FAMILIA PRIMARY CARE
Authorized official UNKNOWN PERSON - (DONT KNOW)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2015
Last updated 06/26/2019 - About 7 years ago
Identifiers
NM License # 96-165
CO Medicaid 01224930
NM Medicaid 00T6653
NM Medicaid 75656302
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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