LA CLINICA DEL PUEBLO DE RIO ARRIBA
NPI 1598797805
Clinic/Center - Federally Qualified Health Center (FQHC) in Tierra Amarilla, NM

Active since July 07, 2006
US HWY 84, COUNTY ROAD 0324, #14, TIERRA AMARILLA, NM 87575(575) 588-7252(575) 588-9132 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2023, Feb 24, 2023, Jun 30, 2016 and 3 more (6 updates tracked since 2016).

About La Clinica Del Pueblo De Rio Arriba NPPES

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

LA CLINICA DEL PUEBLO DE RIO ARRIBA (NPI 1598797805) is a healthcare organization registered as a federally qualified health center (fqhc) in Tierra Amarilla, New Mexico and active in the NPI registry since July 2006. The organization lists Leonard Horan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1598797805
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL PUEBLO DE RIO ARRIBA
Location AddressUS HWY 84, COUNTY ROAD 0324, #14Tierra Amarilla, NM 87575-0250
Mailing AddressPo Box 250, Us Hwy 84, County Road 0324, #14Tierra Amarilla, NM 87575-0250 · (575) 588-7252 · Fax (575) 588-9132
Fax(575) 588-9132
Organization SubpartNo
Authorized OfficialLeonard HoranExecutive Director · (575) 588-7252
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 28, 20246 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1598797805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X

Other Identifiers 7

Medicaid000050740NM
Other1891562674NM · Physical Therapist
Other1215129291NM · Ambulance
Medicaid00050740NM
Other1467742015NM · Luigi A. Dulanto, M.d.
Other1366581373NM · Jodi K. Casados
Other1730472085NM · Levi I. Maes, M.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Del Pueblo De Rio Arriba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to La Clinica Del Pueblo De Rio Arriba, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1780405464
1525 N RENAISSANCE BLVD NE
Albuquerque, NM 87107
(505) 243-3387
✔ PECOS✔ Accepts Medicare
Family Practice
NPI 1366581373
#14, COUNTY ROAD 0324, HWY 84
Tierra Amarilla, NM 87575
(505) 588-7252
✔ PECOS✔ Accepts Medicare
Internal Medicine
NPI 1033181375
5495 ARAPAHOE AVE STE 100
Boulder, CO 80303
(303) 415-4250
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1760297162
2800 E BROAD ST STE 400
Mansfield, TX 76063
(817) 675-0828
✔ PECOS✔ Accepts Medicare
Family Practice
NPI 1730472085
3630 LAS ESTANCIAS DR SW
Albuquerque, NM 87121
(505) 462-7777
✔ PECOS✔ Accepts Medicare
Mental Health Counselor
NPI 1376168583
HIGHWAY 84 COUNTY ROAD 0324 #14
Tierra Amarilla, NM 87575
(575) 588-7252
✔ PECOS
Physical Therapist in Private Practice
NPI 1891562674
2529 DOS RIOS DR
Chama, NM 87520
(505) 429-0827

Source: 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 Del Pueblo De Rio Arriba's NPI number?

The NPI number for La Clinica Del Pueblo De Rio Arriba is 1598797805. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is La Clinica Del Pueblo De Rio Arriba located?

La Clinica Del Pueblo De Rio Arriba is located at Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575. The listed phone number is (575) 588-7252.

What is La Clinica Del Pueblo De Rio Arriba'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 Del Pueblo De Rio Arriba enrolled in Medicare?

Yes. La Clinica Del Pueblo De Rio Arriba is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Clinica Del Pueblo De Rio Arriba?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to La Clinica Del Pueblo De Rio Arriba, in Family Practice, Internal Medicine, Mental Health Counselor, Nurse Practitioner and Physical Therapist in Private Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does La Clinica Del Pueblo De Rio Arriba accept?

Health plans from UnitedHealthcare list La Clinica Del Pueblo De Rio Arriba 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 Del Pueblo De Rio Arriba was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.