LA CLINICA DE FAMILIA SANTA TERESA SCHOOL BASE
NPI 1083687115
Clinic/center, Federally Qualified Health Center (fqhc) in Santa Teresa,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

100 Airport Rd
Santa Teresa,
Post Code: 88008
Phone: (575) 874-9338
Fax: (575) 874-9338

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La Clinica De Familia Santa Teresa School Base in Santa Teresa - Clinic/Center, Federally Qualified Health Center (FQHC)

La Clinica De Familia Santa Teresa School Base is a Clinic/Center, Federally Qualified Health Center (FQHC) in Santa Teresa, . La Clinica De Familia Santa Teresa School Base practices all healthcare services and medical treatments related to Clinic/Center, Federally Qualified Health Center (FQHC). The NPI Number for La Clinica De Familia Santa Teresa School Base is 1083687115. The last update date is 2021-05-13.

La Clinica De Familia Santa Teresa School Base's current location address is 100 Airport Rd, Santa Teresa, . You can contact this provider via phone number (575) 874-9338 and fax number (575) 874-9338. The mailing address for La Clinica De Familia Santa Teresa School Base is 100 Airport Rd, Santa Teresa, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083687115
Provider Legal Name
LA CLINICA DE FAMILIA, INCORPORATED
Other Organization Name
LA CLINICA DE FAMILIA SANTA TERESA SCHOOL BASE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
100 Airport Rd, Santa Teresa,
Location Phone
(575) 874-9338
Location Fax
(575) 874-9338
Mailing Address
385 Calle De Alegra, Las Cruces, New Mexico(NM)
Mailing Phone
575-526-1105
Mailing Fax
575-524-4266
Enumeration Date
2006-02-09
Last Update Date
2021-05-13
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
New Mexico (NM)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
321946 Other (non-Medicare) (01) New Mexico (NM) Medicare
94479712 MEDICAID (05) New Mexico (NM)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083687115
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631281412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201631281412
2 + 0 + 1 + 6 + 3 + 1 + 2 + 8 + 1 + 4 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1083687115 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083617039 DEBORAH ANN STANLEY
Individual
Pharmacist, Psychiatric PO BOX 93
LAS VEGAS, New Mexico (NM)
505-454-5125
1053314237 INTEGRATED CONCEPTS, INC
PHARMACARE
Organization
Durable Medical Equipment & Medical Supplies 3807 ACADEMY PARKWAY S NE
ALBUQUERQUE, New Mexico (NM)
505-345-9299
1053314831 LAS CLINICAS DEL NORTE, INCORPORATED
EL RITO CLINIC
Organization
Clinic/Center, Federally Qualified Health Center (FQHC) HWY 571 #28
EL RITO, New Mexico (NM)
575-581-4728
1043213937 KIMBERLY MILLER
Individual
Audiologist, Assistive Technology Practitioner 10200 CORRALES RD NW
ALBUQUERQUE, New Mexico (NM)
505-890-0003
1063415701 GARY J. BIAZAK
Individual
Anesthesiology 1720 LOUISIANA BLVD NE
ALBUQUERQUE, New Mexico (NM)
505-260-4300