De Baca Family Practice Clinic
Clinic/Center - Federally Qualified Health Center (FQHC)
About De Baca Family Practice Clinic
De Baca Family Practice Clinic is a healthcare organization providing Clinic/Center - Federally Qualified Health Center (FQHC) services, with specialized expertise in Federally Qualified Health Center (FQHC), registered under National Provider Identifier (NPI) number 1003855032.
The authorized official for De Baca Family Practice Clinic is LISA WALRAVEN. The organization is headquartered at 546 N. TENTH ST, Fort Sumner, New Mexico 88119. The main office can be reached at (505) 355-2414.
De Baca Family Practice Clinic has been NPI-registered since 2006.
Locations & Contact
Primary Location
- Address
- 546 N. TENTH ST
- City
- Fort Sumner
- State
- New Mexico
- ZIP
- 88119
- Phone
- (505) 355-2414
Authorized Official
- Name
- LISA WALRAVEN
Mailing Address
- Address
- PO BOX 349
- City
- FORT SUMNER
- State
- NM
- ZIP
- 881190349
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Classification
- Clinic/Center
- Specialization
- Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is De Baca Family Practice Clinic's NPI number?
What does De Baca Family Practice Clinic specialize in?
Where is De Baca Family Practice Clinic located?
Does De Baca Family Practice Clinic accept Medicare?
Does De Baca Family Practice Clinic offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. De Baca Family Practice Clinic holds NPI 1003855032, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.