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Organization

LA FAMILIA PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UNKNOWN PERSON (DONT KNOW)
(575) 445-5563
Entity
Organization

Contact information

Practice address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566
Mailing address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
96-165
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00T6653
NM
05
01224930
CO
05
75656302
NM
Enumeration date
07/31/2015
Last updated
06/26/2019
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