Organization
LA FAMILIA MEDICAL CENTER
Active
Other names
La Familia Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON VANESSA VAN PELT (CHIEF EXECUTIVE OFFICER)
(505) 982-4425
Entity
Organization
Contact information
Practice address
2145 CAJA DEL ORO GRANT RD, SANTA FE, NM 87507-3279
(505) 438-3195
(505) 982-6280
Mailing address
2145 CAJA DEL ORO GRANT RD, SANTA FE, NM 87507-3279
(505) 982-4415
(505) 982-1263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
321876
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3367
—
NM
Enumeration date
12/14/2006
Last updated
01/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us