La Familia Medical Center

A Medicare group practice based in Santa Fe, NM: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4082601026), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082601026The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
4
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040429001343 NM Part B Supplier - Clinic/Group Practice 1811059322
O20170707000099 NM Part A Provider - Federally Qualified Health Center (FQHC) 1740717743
O20090212000476 NM Part A Provider - Federally Qualified Health Center (FQHC) 1346251782
O20090212000486 NM Part A Provider - Federally Qualified Health Center (FQHC) 1710049218

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 31

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (30).

Sources for this page