La Clinica De Familia, Incorporated
La Clinica De Familia, Incorporated is a Federally Qualified Health Center (FQHC) in LA Mesa, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.
- Licensed in
- NM
- In the registry since
- 2006
Practice location Address checks out
18420 S Highway 28LA Mesa, NM 88044-9605
Phone: (575) 233-3830
Fax: (575) 233-4542
Show map & directions
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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 (NM) |
|---|
Record details
| NPI number | 1396718631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Virgil Medina — Chief Executive Officer · (575) 526-1105 |
| Other names | La Clinica De Familia San Miguel; La Clinica De Familia San Miguel |
| NPI enumerated | February 8, 2006 |
| Last updated in NPPES | May 13, 2021 |
| Certification date | May 13, 2021 |
| Mailing address | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 |