1003855032 DE BACA FAMILY PRACTICE CLINIC

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
DE BACA FAMILY PRACTICE CLINIC
Enumeration Date
June 5, 2006
Last Update
January 22, 2025
Authorized Official
LISA WALRAVEN
CEO
Phone: (575) 355-2420

Practice Location

Address
546 N. TENTH ST
FORT SUMNER, NM 88119
Phone
(505) 355-2414

Mailing Address

Address
PO BOX 349
FORT SUMNER, NM 881190349
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
 261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
321863 01 NM NGS ID

Frequently Asked Questions

What is DE BACA FAMILY PRACTICE CLINIC's NPI number?
DE BACA FAMILY PRACTICE CLINIC's NPI number is 1003855032.
Which doctor has NPI number 1003855032?
The doctor with NPI number 1003855032 is DE BACA FAMILY PRACTICE CLINIC.
What is DE BACA FAMILY PRACTICE CLINIC's practice address?
DE BACA FAMILY PRACTICE CLINIC's practice address is 546 N. TENTH ST, FORT SUMNER, NM, 88119.
Which doctor practices at 546 N. TENTH ST, FORT SUMNER, NM, 88119?
DE BACA FAMILY PRACTICE CLINIC practices at 546 N. TENTH ST, FORT SUMNER, NM, 88119.
What is DE BACA FAMILY PRACTICE CLINIC's mailing address?
DE BACA FAMILY PRACTICE CLINIC's mailing address is PO BOX 349, FORT SUMNER, NM, 881190349.
What is DE BACA FAMILY PRACTICE CLINIC's phone number?
DE BACA FAMILY PRACTICE CLINIC's phone number is (505) 355-2414.
Who is (505) 355-2414?
(505) 355-2414 is the phone number for DE BACA FAMILY PRACTICE CLINIC.
What is DE BACA FAMILY PRACTICE CLINIC's specialty?
DE BACA FAMILY PRACTICE CLINIC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is DE BACA FAMILY PRACTICE CLINIC?
DE BACA FAMILY PRACTICE CLINIC is a Federally Qualified Health Center (FQHC).
Is DE BACA FAMILY PRACTICE CLINIC a Federally Qualified Health Center (FQHC)?
Yes, DE BACA FAMILY PRACTICE CLINIC is a Federally Qualified Health Center (FQHC).
Is DE BACA FAMILY PRACTICE CLINIC still practicing?
Yes, DE BACA FAMILY PRACTICE CLINIC is currently practicing.
Is DE BACA FAMILY PRACTICE CLINIC accepting new patients?
DE BACA FAMILY PRACTICE CLINIC may be accepting new patients. Please call their office at (505) 355-2414 to inquire about availability.
Is NPI 1003855032 still active?
Yes, NPI 1003855032 is currently active.
Where does DE BACA FAMILY PRACTICE CLINIC practice?
DE BACA FAMILY PRACTICE CLINIC practices in FORT SUMNER, NM.