LA CLINICA DE FAMILIA SANTA TERESA SCHOOL BASE
NPI 1083687115
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Teresa, NM
About La Clinica De Familia Santa Teresa School Base NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA CLINICA DE FAMILIA SANTA TERESA SCHOOL BASE (NPI 1083687115) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Teresa, New Mexico and active in the NPI registry since February 2006. The organization lists Virgil Medina, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Clinica De Familia Santa Teresa School Base is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
103Medicare enrollment records show 103 clinicians reassign Medicare billing to La Clinica De Familia Santa Teresa School Base, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 103Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is La Clinica De Familia, Incorporated's NPI number?
The NPI number for La Clinica De Familia, Incorporated is 1083687115. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as La Clinica De Familia Santa Teresa School Base.
Where is La Clinica De Familia, Incorporated located?
La Clinica De Familia, Incorporated is located at 100 Airport Rd, Santa Teresa, NM 88008. The listed phone number is (575) 874-9338.
What is La Clinica De Familia, Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is La Clinica De Familia, Incorporated enrolled in Medicare?
Yes. La Clinica De Familia, Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through La Clinica De Familia, Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 103 clinicians in 11 Medicare specialties reassign their Medicare billing to La Clinica De Familia, Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Clinical Social Worker (24) and Family Practice (15). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does La Clinica De Familia, Incorporated accept?
Health plans from UnitedHealthcare list La Clinica De Familia, Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for La Clinica De Familia, Incorporated was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# La Clinica De Familia Santa Teresa School Base · NPI 1083687115
Federally Qualified Health Center (FQHC) organization in Santa Teresa, New Mexico. Organization record, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1083687115 (Entity type: Organization)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** La Clinica De Familia, Incorporated
- **Organization subpart:** No
- **Authorized official:** Virgil Medina, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 100 AIRPORT RD, Santa Teresa, NM 88008-9703
- **Phone:** (575) 874-9338 · **Fax:** (575) 874-9338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 103 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Clinical Social Worker (24), Family Practice (15); 9 practice within 10 miles; [full list](https://npiprofile.com/npi/1083687115/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2021
- **Other identifiers:** Other 321946 (NM); Medicaid 94479712 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1083687115) · Data from the CMS NPPES public registry.