| La Clinica De Familia Chaparral Medical | |
|
510 E Lisa Dr Chaparral NM 88081-7809 | |
| (575) 824-0820 | |
| (575) 824-1021 |
| Full Name | La Clinica De Familia Chaparral Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 E Lisa Dr, Chaparral, 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 Chaparral Medical 385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | La Clinica De Familia Chaparral Medical 510 E Lisa Dr Chaparral NM 88081-7809 Ph: (575) 824-0820 |
| NPI Number | 1508838004 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 6305745191 |
|---|---|
| Medicare Enrollment ID | O20040615001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508838004 | NPI | - | NPPES |
| R8204 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
Chaparral Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Angelina Blvd., Chaparral, NM 88081 Phone: 575-824-0144 | |
Chaparral High School-based Health Center (adolescent Services) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 Phone: 575-882-6300 Fax: 575-824-5081 | |
County Line Medical Service Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 S County Line Dr Spc A, Chaparral, NM 88081 Phone: 575-824-5007 | |
La Clinica De Familia Chaparral Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 E Lisa Dr, Bldg. 3, Chaparral, NM 88081 Phone: 575-824-0128 Fax: 575-824-0179 | |
Mis Amigos De Salud Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Red Sun Dr, Chaparral, NM 88081 Phone: 505-824-0383 Fax: 505-824-0375 | |
Chaparral School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 S County Line Dr, Chaparral, NM 88081 Phone: 575-525-4815 Fax: 575-525-4816 |