{"npi":"1730152281","type":"NPI-2","status":"active","name":{"display":"La Clinica De Familia, Incorporated","other":[],"organization_name":"LA CLINICA DE FAMILIA, INCORPORATED","authorised_official":"Virgil Medina"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"NM","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2625 MCNUTT RD","city":"SUNLAND PARK","state":"NM","postal_code":"880639019","country_code":"US","phone":"5755890887","fax":"5755890898"},{"purpose":"MAILING","street_1":"385 CALLE DE ALEGRA","city":"LAS CRUCES","state":"NM","postal_code":"880053423","country_code":"US","street_2":"BLDG. A","phone":"5755261105","fax":"5755244266"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"47552","state":"NM","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100803001094","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"NM","pac_id":"6305745191"}]},"enumeration_date":"2006-02-07","last_updated":"2020-06-01","_meta":{"source":"NPPES","snapshot_date":"2020-06-01","doc_url":"https://findmynpi.com/api"}}