NPIMap

Organization Active NPI

Amador Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
National Provider Identifier
1700178167
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald James Fitzherbert
Title
Ceo
Phone
(575) 527-5482

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6350 NM
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • ST. LUKE'S HEALTH CARE CLINIC, INC. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700178167. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 4, 1990 in NM
Enrollment address
999 W Amador Ave
Ste a
Las Cruces, NM 88005-2739

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diana Salcedo Individual Operational/Managerial ControlOffice Manager Oct 1, 2020 100%
Ronald James Fitzherbert Individual Corporate OfficerChief Executive Officer Mar 28, 2025
W-2 Managing Employee Mar 28, 2025
Tomasa Shanbhag Individual Corporate DirectorDirector of Human Resources Jul 22, 2019 100%
W-2 Managing Employee Jul 22, 2019

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1700178167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2243",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042243",
            "telephone_number": "575-527-5482",
            "fax_number": "575-652-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482",
            "fax_number": "575-652-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "FITZHERBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-527-5482"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "6350",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. LUKE'S HEALTH CARE CLINIC, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.