| La Familia Medical Center Health Care For The Homeless | |
|
1532 Cerrillos Rd Ste B Santa Fe NM 87505-3512 | |
| (505) 988-1742 | |
| Not Available |
| Full Name | La Familia Medical Center Health Care For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 1532 Cerrillos Rd Ste B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Julie Kay Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5059824599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia Medical Center Health Care For The Homeless Po Box 5395 Santa Fe NM 87502-5395 Ph: (505) 629-4714 | La Familia Medical Center Health Care For The Homeless 1532 Cerrillos Rd Ste B Santa Fe NM 87505-3512 Ph: (505) 988-1742 |
| NPI Number | 1740717743 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 4082601026 |
|---|---|
| Medicare Enrollment ID | O20170707000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740717743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
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