Organization
LA FAMILIA MEDICAL CENTER
Active
Parent organization
LA FAMILIA MEDICAL CENTER
Other names
La Familia Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA FAMILIA MEDICAL CENTER
Authorized official
BRANDON VANESSA VAN PELT (CEO)
(505) 424-5683
Entity
Organization
Contact information
Practice address
6401 S RICHARDS AVE, SANTA FE, NM 87508-4887
(505) 984-5048
(505) 983-4751
Mailing address
PO BOX 5395, SANTA FE, NM 87502-5395
(505) 982-4425
(505) 982-1263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NM
Other
Enumeration date
07/20/2011
Last updated
01/13/2025
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