SANTA TERESA FAMILY MEDICAL CENTER - NPI 1144757063 - Clinic/Center in Santa Teresa, NM

Q: What is Santa Teresa Family Medical Center's NPI number?

The NPI number for Santa Teresa Family Medical Center is 1144757063. It was assigned to this organization in the NPPES registry on May 23, 2017.

Q: What is Santa Teresa Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Santa Teresa Family Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA TERESA FAMILY MEDICAL CENTER (NPI 1144757063) is a healthcare organization registered as a clinic/center in Santa Teresa, New Mexico and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Mario Vela, Owner, as its authorized official.

NPPES Registry Identity

NPI1144757063

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSANTA TERESA FAMILY MEDICAL CENTER

Location Address5055 MCNUTT RDSanta Teresa, NM 88008-9442

Mailing Address5055 Mcnutt RdSanta Teresa, NM 88008-9442 · (575) 589-5005

Phone(575) 589-5005

Organization SubpartNo

Authorized OfficialMario VelaOwner · (575) 589-5005

Enumeration DateMay 23, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1144757063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NM · CNP-017111

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5055 MCNUTT RD, Santa Teresa, NM 88008

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Other Identifiers 1

Medicaid82-1390204TX

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2133872

Santa Teresa Family Medical Center · Santa Teresa, NM

Active · expires Jul 19, 2027

CLIA Number32D2133872

Laboratory TypePractitioner Other

Certificate Effective DateJuly 20, 2025

Certificate Expiration DateJuly 19, 2027

Laboratory DirectorMario Vela

Laboratory Phone(575) 589-5005

Laboratory LocationSanta Teresa Family Medical Center5055 Mcnutt Rd, Santa Teresa, NM 88008

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

MARIO VELA FNP, DNP

Nurse Practitioner (Family)