De Baca Family Practice Clinic
De Baca Family Practice Clinic is a Federally Qualified Health Center (FQHC) in Fort Sumner, New Mexico. Licensed in New Mexico. Registered with an NPI since 2010.
- Licensed in
- NM
- In the registry since
- 2010
Practice location Address checks out
1001 Sumner AveFort Sumner, NM 88119-0349
Phone: (575) 355-4431
Fax: (575) 355-4432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 3069 (NM) |
|---|
Record details
| NPI number | 1699082644 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | De Baca Family Practice Clinic |
| Authorized official | Lisa Walraven — Ceo · (575) 355-2420 |
| Other names | De Baca Family Practice Clinic/School Site |
| NPI enumerated | September 10, 2010 |
| Last updated in NPPES | October 14, 2025 |
| Certification date | October 14, 2025 |
| Mailing address | Po Box 349, Fort Sumner, NM 88119-0349 |
Other providers in Fort Sumner
-
De Baca Family Practice Clinic
546 N Tenth St, Fort Sumner, NM 88119 · (505) 355-2414
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De Baca Family Practice Clinic
546 N 10th St, Fort Sumner, NM 88119 · (575) 355-2414