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CENTENNIAL SCHOOL BASE
NPI 1639553928
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Cruces, NM

Active since July 16, 2015
1950 SONOMA RANCH BLVD., LAS CRUCES, NM 88011(575) 525-4811(575) 524-4266 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 2 more (5 updates tracked since 2016).

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

NPI1639553928
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DE FAMILIA, INCORPORATED
Location Address1950 SONOMA RANCH BLVD.Las Cruces, NM 88011
Mailing Address385 Calle De Alegra, Bldg ALas Cruces, NM 88005-3423 · (575) 526-1105 · Fax (575) 524-4266
Phone(575) 525-4811
Fax(575) 524-4266
Organization SubpartNo
Authorized OfficialVirgil MedinaCeo · (575) 526-1105
Enumeration DateJuly 16, 2015
Last NPPES UpdateMay 13, 20215 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1639553928 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
1950 SONOMA RANCH BLVD., Las Cruces, NM 88011
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Other Names 1

Doing Business AsCentennial School Base

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 ›

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.

What insurance does La Clinica De Familia, Incorporated accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma 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.