De Baca Family Practice Clinic
Doing business as De Baca Family Practice Clinic/School Site
Federally qualified health center in Fort Sumner, NM, Medicare certification number 321958.
Medicare certification
Provider of Services- CCN
- 321958
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Feb 12, 2018
- Last certification
- Feb 12, 2018
- Address
- 1001 Sumner Avenue
Fort Sumner, NM 88119
(575) 355-2414
NPI records for this facility (CCN to NPI Mapping) 1
-
dba De Baca Family Practice Clinic/School Site
- Federally Qualified Health Center (FQHC)
- Fort Sumner, NM
- NPI 1699082644
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.