NPI 1114578671
La Clinica de Familia, Incorporated
Practice location
- Address
- 100 Shrode Rd, Anthony, NM 88021-7350
- Phone
- (575) 526-1105
- Fax
- (575) 524-4266
- Mailing address
- 385 Calle de Alegra STE a, Las Cruces, NM 88005-3423
Authorised official
- Name
- Virgil Medina
- Title
- Ceo
- Phone
- (575) 526-1105
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1114578671
- Entity type
- Organization
- NPI issued
- 26 Sep 2019
- Record last updated
- 13 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.