| La Clinica De Familia Santa Teresa School Base | |
|
100 Airport Rd Santa Teresa NM 88008-9703 | |
| (575) 874-9338 | |
| (575) 874-9338 |
| Full Name | La Clinica De Familia Santa Teresa School Base |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Airport Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Virgil Medina (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5755261105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica De Familia Santa Teresa School Base 385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | La Clinica De Familia Santa Teresa School Base 100 Airport Rd Santa Teresa NM 88008-9703 Ph: (575) 874-9338 |
| NPI Number | 1083687115 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 6305745191 |
|---|---|
| Medicare Enrollment ID | O20160707000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083687115 | NPI | - | NPPES |
| 94479712 | Medicaid | NM | |
| 321946 | Other | NM | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
Mayedel A. San Jose Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008 Phone: 575-332-4633 Fax: 877-209-8941 | |
Santa Teresa Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 | |
Santa Teresa Occmed Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 505-589-5005 | |
Total Therapy Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Country Club Rd Ste C, Santa Teresa, NM 88008 Phone: 575-589-0303 Fax: 575-589-4080 | |
Doctors Of Santa Teresa Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 575-589-1144 Fax: 575-589-2008 | |
Santa Teresa Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 |