Organization
LA CLINICA DE FAMILIA, INCORPORATED
Active
Other names
La Clinica De Familia Central Medical
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL MEDINA (CHIEF EXECUTIVE OFFICER)
(575) 526-1105
Entity
Organization
Contact information
Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2818
(575) 528-6400
(575) 528-5539
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
05/13/2021
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