Organization
LA CLINICA DE FAMILIA, INCORPORATED
Active
Other names
Gadsden School Base
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL MEDINA (CEO)
(575) 526-1105
Entity
Organization
Contact information
Practice address
6301 NM HIGHWAY 28, ANTHONY, NM 88021
(575) 525-4817
(575) 525-4818
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31439314
—
NM
01
—
321951
MEDICARE
NM
Enumeration date
03/03/2016
Last updated
01/27/2026
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