La Clinica De Familia Anthony is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Anthony, New Mexico. The current practice location for La Clinica De Familia Anthony is 855 Anthony Dr, Anthony, New Mexico. For appointments, you can reach them via phone at
(575) 882-5706. The mailing address for La Clinica De Familia Anthony is 385 Calle De Alegra, Bldg. A, Las Cruces, New Mexico and phone number is (575) 526-1105.
La Clinica De Familia Anthony is licensed to practice in New Mexico (license number ). The clinic also participates in the medicare program and its
NPI number is 1699748921. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(575) 882-5706.
Dental Care Clinic Profile
| Full Name | La Clinica De Familia Anthony |
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| Speciality | Clinic/Center |
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| Location | 855 Anthony Dr, Anthony, New Mexico |
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| Authorized Official Name and Position | Virgil Medina (CHIEF EXECUTIVE OFFICER) |
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| Authorized Official Contact | 5755261105 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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La Clinica De Familia Anthony
385 Calle De Alegra
Bldg. A
Las Cruces
NM 88005-3423
Ph: (575) 526-1105 | La Clinica De Familia Anthony
855 Anthony Dr
Anthony
NM 88021-9325
Ph: (575) 882-5706 |
NPI Details:
| NPI Number | 1699748921 |
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| Provider Enumeration Date | 02/08/2006 |
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| Last Update Date | 01/28/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6305745191 |
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| Medicare Enrollment ID | O20100803001131 |
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Medical Identifiers
Medical identifiers for La Clinica De Familia Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699748921 | NPI | - | NPPES |
| 48025 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
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