LA CLINICA DE FAMILIA SANTA TERESA SCHOOL BASE
NPI 1083687115
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Teresa, NM

Q: 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.

Q: 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.

Active since February 09, 2006

100 AIRPORT RD, SANTA TERESA, NM 88008(575) 874-9338(575) 874-9338 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Jun 11, 2019, Jun 16, 2018 and 3 more (6 updates tracked since 2016).

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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

NPI1083687115

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DE FAMILIA, INCORPORATED

Location Address100 AIRPORT RDSanta Teresa, NM 88008-9703

Mailing Address385 Calle De Alegra, Bldg. ALas Cruces, NM 88005-3423 · (575) 526-1105 · Fax (575) 524-4266

Phone(575) 874-9338

Fax(575) 874-9338

Organization SubpartNo

Authorized OfficialVirgil MedinaChief Executive Officer · (575) 526-1105

Enumeration DateFebruary 9, 2006

Last NPPES UpdateMay 13, 20216 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1083687115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

100 AIRPORT RD, Santa Teresa, NM 88008

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Other Names 1

Doing Business AsLa Clinica De Familia Santa Teresa School Base

Other Identifiers 2

Other321946NM · Medicare

Medicaid94479712NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCIO HERRERA LMSW

Social Worker