CENTENNIAL SCHOOL BASE
NPI 1639553928
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Cruces, NM
About Centennial School Base NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL SCHOOL BASE (NPI 1639553928) is a healthcare organization registered as a federally qualified health center (fqhc) in Las Cruces, New Mexico and active in the NPI registry since July 2015. The organization lists Virgil Medina, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial 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 Centennial School Base, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 66 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 1639553928. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Centennial School Base.
Where is La Clinica De Familia, Incorporated located?
La Clinica De Familia, Incorporated is located at 1950 Sonoma Ranch Blvd., Las Cruces, NM 88011. The listed phone number is (575) 525-4811.
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, 1 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Centennial School Base · NPI 1639553928
Federally Qualified Health Center (FQHC) organization in Las Cruces, New Mexico. Organization record, active in the CMS NPPES registry since July 16, 2015.
## Identity
- **NPI:** 1639553928 (Entity type: Organization)
- **Enumerated:** July 16, 2015
- **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, CEO
## Practice location
- **Address:** 1950 SONOMA RANCH BLVD., Las Cruces, NM 88011
- **Phone:** (575) 525-4811 · **Fax:** (575) 524-4266
## 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); 1 practice at this address and 66 within 10 miles; [full list](https://npiprofile.com/npi/1639553928/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639553928) · Data from the CMS NPPES public registry.