Amador Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Las Cruces, NM
NPI 1700178167 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1700178167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- AMADOR HEALTH CENTER, INC.
- Practice address
- 999 W Amador Ave Ste a
Las Cruces, NM 88005-2739 - Phone
- (575) 527-5482
- Fax
- (575) 652-4243
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Ronald James Fitzherbert
- Title
- Ceo
- Phone
- (575) 527-5482
Other NPIs with the same Medicare PAC ID 1
Practitioners 18
-
Angie Le'Alice Hagan, CPM, CNP
-
Jesus Eduardo Hernandez, LMHC
-
William K. Hunt, PH.D.
-
Jeanette Valdez, LMSW
-
Karen J. Little, LPCC, LISW
-
Stephen Vinge, MD
-
Martin Alonso Nunez, CASE MANAGER
-
Maribel Vazquez, CHW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM
Federally qualified health center certification: CCN 321956
- Legal name
- AMADOR HEALTH CENTER, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 21, 2017
- Last certification
- Sep 21, 2017
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 4, 1990 in NM
- Enrollment address
- 999 W Amador Ave
Ste a
Las Cruces, NM 88005-2739
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Diana Salcedo |
Operational/Managerial Control |
Oct 1, 2020 | 100% |
| Ronald James Fitzherbert |
Corporate Officer |
Mar 28, 2025 | |
| W-2 Managing Employee | Mar 28, 2025 | ||
| Tomasa Shanbhag |
Corporate Director |
Jul 22, 2019 | 100% |
| W-2 Managing Employee | Jul 22, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170922000320 | NM | Part a Provider - Federally Qualified Health Center (FQHC) | 0244501633 | Practice locations: Las Cruces, NM |
| O20180507000571 | NM | Part B Supplier - Clinic/Group Practice | 0244501633 |
Receives reassigned benefits from 9 practitioners Practice locations: Las Cruces, NM |
National Provider Directory
Locations
999 W Amador Ave
Las Cruces, NM 88005
Phone (575) 527-5482
999 W Amador Ave
Ste D
Las Cruces, NM 88005
Phone (575) 527-5482
999 W Amador Ave
Ste A
Las Cruces, NM 88005
Phone (575) 527-5482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6350 | NM | |
| Community Health Clinic/Center | 261QC1500X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
999 W Amador Ave Ste a
Las Cruces, NM 88005-2739
Mailing address
PO Box 2243
Las Cruces, NM 88004-2243
Phone (575) 527-5482
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76632873 | Medicaid | NM |
Other names
- ST. LUKE'S HEALTH CARE CLINIC, INC.
Other providers in Las Cruces, NM
- Janice M. Alvillar
- Amy Helen Amabile
- Amador Health Center
- Amador Health Center, Inc.
- Amador Health Center, Inc.
- Joanne A. Amador
- Norma Angelica Amador
- Vennessa Vasquez Amador
- Amanecer Community Counseling Center
- Rebecca Ann Amati
All providers in Las Cruces, NM · Federally Qualified Health Center (FQHC) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.