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Contact Information

LA FAMILIA MEDICAL CENTER
1035 ALTO ST
SANTA FE, NM87501-2406
 Phone: 505-479-3800
 Fax: 505-666-0470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LA FAMILIA MEDICAL CENTER

NPI # 1477922409
LBN Legal business name LA FAMILIA MEDICAL CENTER
Authorized official BRANDON VAN PELT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2015
Last updated 01/13/2025 - More than a year ago
Identifiers
NM Medicaid 90806565
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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