| La Clinica De Familia Sunland Park | |
|
2625 Mcnutt Rd Sunland Park NM 88063-9019 | |
| (575) 589-0887 | |
| (575) 589-0898 |
| Full Name | La Clinica De Familia Sunland Park |
|---|---|
| Speciality | Clinic/Center |
| Location | 2625 Mcnutt Rd, Sunland Park, 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 Sunland Park 385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | La Clinica De Familia Sunland Park 2625 Mcnutt Rd Sunland Park NM 88063-9019 Ph: (575) 589-0887 |
| NPI Number | 1730152281 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 6305745191 |
|---|---|
| Medicare Enrollment ID | O20100803001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730152281 | NPI | - | NPPES |
| 47552 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
Women's Reproductive Clinic Of New Mexic O, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5690 Santa Teresita, Sunland Park, NM 88063 Phone: 505-589-3855 | |
Sunland Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1155 Mcnutt Rd Ste 104, Sunland Park, NM 88063 Phone: 915-202-4463 | |
Vhma Of Nm Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 Appaloosa Dr Ste C310, Sunland Park, NM 88063 Phone: 575-332-9086 Fax: 575-332-9132 |