ANGEL FIRE PRIMARY CARE
NPI 1922376896
General Practice in Angel Fire, NM
- Organization
- General Practice
- CLIA Number: 32D2041003
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-14-2026
About ANGEL FIRE PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Angel Fire Primary Care, a primary care provider established in Angel Fire, New Mexico operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1922376896 assigned on December 2011. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Lesa D Fraker M.d. (President)
- NPI
- 1922376896 Verify this NPI
- Provider Name
- ANGEL FIRE PRIMARY CARE
- Entity Type
- Organization
- Location Address
- 37 ASPEN ANGEL FIRE, NM 87710
- Location Phone
- (575) 377-1805
- Mailing Address
- 707 PASEO DE PERALTA SANTA FE, NM 87501
- Mailing Phone
- (505) 989-8707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-07-2011
- Last Update Date
- 05-15-2012
- Code Navigator
A primary care provider (PCP) like Angel Fire Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NM
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2041003
- Facility Type
- Physician Office
- Certificate Effective Date
- May 15, 2024
- Certificate Expiration Date
- May 14, 2026
- Laboratory Director
- LESA D. FRAKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Angel Fire Primary Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922376896, enumerated as an "organization" on December 07, 2011.
The provider is located at 37 ASPEN ANGEL FIRE, NM 87710 and the phone number is (575) 377-1805.
General Practice with taxonomy code 208D00000X.
