SANTA TERESA FAMILY MEDICAL CENTER
NPI 1144757063
Clinic/Center in Santa Teresa, NM
NPI Status: Active since May 23, 2017
Contact Information
5055 MCNUTT RD
SANTA TERESA, NM
ZIP 88008
Phone: (575) 589-5005
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 32D2244816
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 12-05-2025
About SANTA TERESA FAMILY MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Santa Teresa Family Medical Center, a provider established in Santa Teresa, New Mexico operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1144757063 assigned on May 2017. The practitioner's primary taxonomy code is 261Q00000X with license number CNP-017111 (NM). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mario Vela Dnp,fnp-c (Owner)
- NPI
- 1144757063
- Provider Name
- SANTA TERESA FAMILY MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 5055 MCNUTT RD SANTA TERESA, NM 88008
- Location Phone
- (575) 589-5005
- Mailing Address
- 5055 MCNUTT RD SANTA TERESA, NM 88008
- Mailing Phone
- (575) 589-5005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- CNP-017111
- License State
- NM
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82-1390204 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2244816
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- December 06, 2023
- Certificate Expiration Date
- December 05, 2025
- Laboratory Director
- JUDITH BAUER-CREEGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Santa Teresa Family Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SANTA TERESA FAMILY MEDICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 7 | 5 | 7 | 0 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 14 | 5 | 14 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 4 + 5 + 1 + 4 + 0 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1144757063 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699766816 | ALFRED BASIL VARELA M.D, Individual | Specialist | 5055 MCNUTT RD SANTA TERESA, NM 88008 (505) 589-5005 |
| 1982610580 | MR. CARLOS RAFAEL MONTES MPT Individual | Physical Therapist | 5055 MCNUTT RD SANTA TERESA, NM 88008 (505) 589-5005 |
| 1164603619 | SANTA TERESA OCCMED CENTER, PC Organization | Family Medicine | 5055 MCNUTT RD SANTA TERESA, NM 88008 (505) 589-5005 |
| 1669459947 | SANTA TERESA MEDICAL CARE CENTER PC Organization | Family Medicine | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-5005 |
| 1861483083 | DR. HENRY CALDERONI MD Individual | Family Medicine | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-5005 |
| 1558325969 | DR. DOUGLAS ZISCHKAU MD Individual | Family Medicine | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-5005 |
| 1306464615 | PETER SANGRA MD LLC Organization | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-3000 |
| 1265873947 | PETER K. SANGRA MD Individual | Psychiatry & Neurology (Psychiatry) | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-3000 |
| 1023068012 | MARIO VELA FNP, DNP Individual | Nurse Practitioner (Family) | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-5005 |
| 1679053722 | TAMRA RENAE VARELA FNP-C Individual | Nurse Practitioner | 5055 MCNUTT RD SANTA TERESA, NM 88008 (575) 589-5005 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144757063, enumerated in the NPI registry as an "organization" on May 23, 2017
The provider is located at 5055 Mcnutt Rd Santa Teresa, Nm 88008 and the phone number is (575) 589-5005
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 32D2244816 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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