De Baca Family Practice Clinic

  • 1003855032 NPI Number
  • |
  • Actived: 17 years ago
  • |
De Baca Family Practice Clinic is a health care provider based in Fort Sumner, NM. The NPI Number is 1003855032 and it has been active since 17 years ago. The specialty is Federally Qualified Health Center (FQHC), providing comprehensive mental health services to individuals, families, and communities. If you are looking for Federally Qualified Health Center (FQHC) services, De Baca Family Practice Clinic is an excellent option. We are here to help you get the care you need.

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Overview of De Baca Family Practice Clinic

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/05/2006
  • Last updated: 02/19/2019

Primary Scrop of Practice

  • Taxonomy Code: 261QF0400X
  • Specialty: Federally Qualified Health Center (FQHC)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 349
    Fort Sumner, NM 88119
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 546 N. Tenth St
    Fort Sumner, NM 88119
  • Phone: 505-355-2414
  • Fax:

Authorized Official

  • Name: Lisa Walraven
  • Position/Title: Ceo
  • Telephone Number: 575-355-2414

Scope of Practice

  • Taxonomy Code: 261QF0400X
  • Specialty: Federally Qualified Health Center (FQHC)
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 321863
  • Identifier Type: Other
  • Identifier State: NM
  • Issuer: NGS ID

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for De Baca Family Practice Clinic?
  • A: The npi number for De Baca Family Practice Clinic is 1003855032.
  • Q: What are De Baca Family Practice Clinic's specialties?
  • A: De Baca Family Practice Clinic's specialties are Federally Qualified Health Center (FQHC) and different specialities.
  • Q: Where is De Baca Family Practice Clinic business practice location?
  • A: De Baca Family Practice Clinic business practice location is 546 N. Tenth St, Fort Sumner, NM 88119.
  • Q: How to contact De Baca Family Practice Clinic?
  • A: You can contact De Baca Family Practice Clinic via 505-355-2414.
  • Q: What is the authorized official for De Baca Family Practice Clinic?
  • A: The authorized office name is Lisa Walraven with position/title is Ceo and you can reach the authorized official via phone number 5753552414.
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