De Baca Family Practice Clinic - Dental Clinic in Fort Sumner, NM

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De Baca Family Practice Clinic is a dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Sumner, New Mexico. The current practice location for De Baca Family Practice Clinic is 678 Avenue C, Fort Sumner, New Mexico. For appointments, you can reach them via phone at (575) 355-2417. The mailing address for De Baca Family Practice Clinic is Po Box 349, Fort Sumner, New Mexico and phone number is (575) 355-2414.

De Baca Family Practice Clinic is licensed to practice in * (Not Available) (license number ) and its NPI number is 1740090729. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (575) 355-2417.

Contact Information

De Baca Family Practice Clinic
678 Avenue C
Fort Sumner
NM 88119
(575) 355-2417
(575) 355-2418

Map and Direction


Dental Care Clinic Profile

Full NameDe Baca Family Practice Clinic
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location678 Avenue C, Fort Sumner, New Mexico
Authorized Official Name and PositionLisa Walraven (CEO)
Authorized Official Contact5753552420
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
De Baca Family Practice Clinic
Po Box 349
Fort Sumner
NM 88119-0349

Ph: (575) 355-2414		De Baca Family Practice Clinic
678 Avenue C
Fort Sumner
NM 88119

Ph: (575) 355-2417

NPI Details:

NPI Number1740090729
Provider Enumeration Date01/10/2025
Last Update Date10/14/2025

Medical Identifiers

Medical identifiers for De Baca Family Practice Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740090729NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Dental Clinics in Fort Sumner, NM


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.