NPI 1912383001

La Familia Primary Care

Organisation Preferred Provider Organization Raton, NM

Practice location

Address: 190 Hospital Dr, Raton, NM 87740-2002
Phone: (575) 445-5563
Fax: (575) 445-5566

Authorised official

Name: Unknown Person
Title: Dont Know
Phone: (575) 445-5563

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 96-165 (NM)

Other Preferred Provider Organization providers in New Mexico →

Registry record

NPI: 1912383001
Entity type: Organization
NPI issued: 31 Jul 2015
Record last updated: 26 Jun 2019

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.