| La Clinica De Familia, Incorporated | |
|
826 Anthony Dr. Anthony NM 88021-9346 | |
| (575) 201-5136 | |
| (575) 524-4266 |
| Full Name | La Clinica De Familia, Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 826 Anthony Dr., Anthony, New Mexico |
| Authorized Official Name and Position | Vigil Medina (CEO) |
| Authorized Official Contact | 5755261105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica De Familia, Incorporated 385 Calle De Alegra Bldg A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | La Clinica De Familia, Incorporated 826 Anthony Dr. Anthony NM 88021-9346 Ph: (575) 201-5136 |
| NPI Number | 1033599022 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033599022 | NPI | - | NPPES |
| 2370905 | Other | NM | MEDICARE |
| 61386561 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Community Foundation Of Southern New Mexico Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 28, Gadsden High School-based Health Center, Anthony, NM 88021 Phone: 575-882-6300 Fax: 575-882-2370 | |
La Clinica De Familia, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Shrode Rd, Anthony, NM 88021 Phone: 575-526-1105 Fax: 575-524-4266 | |
Martin Ancona Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 Anthony Dr, Anthony, NM 88021 Phone: 214-662-1791 | |
La Clinica De Familia, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6301 Nm Highway 28, Anthony, NM 88021 Phone: 575-525-4817 Fax: 575-525-4818 |