CHAPARRAL SCHOOL BASE
NPI 1962862938
Clinic/Center - Federally Qualified Health Center (FQHC) in Chaparral, NM

NPI Status: Active since March 03, 2016

Contact Information

800 S COUNTY LINE DR
CHAPARRAL, NM
ZIP 88081
Phone: (575) 525-4815
Fax: (575) 525-4816

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 32D2244721
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-04-2025

About CHAPARRAL SCHOOL BASE

This page provides the complete NPI Profile along with additional information for Chaparral School Base, a primary care provider established in Chaparral, New Mexico operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1962862938 assigned on March 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Chaparral School Base. The authorized official of this NPI record is Virgil Medina (Ceo)

NPI
1962862938
Provider Legal Name
LA CLINICA DE FAMILIA, INCORPORATED
Other Organization Name
CHAPARRAL SCHOOL BASE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
800 S COUNTY LINE DR CHAPARRAL, NM 88081
Location Phone
(575) 525-4815
Location Fax
(575) 525-4816
Mailing Address
385 CALLE DE ALEGRA BLDG. A LAS CRUCES, NM 88005
Mailing Phone
(575) 526-1105
Mailing Fax
(575) 525-4816
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2016
Last Update Date
05-13-2021
Code Navigator

A primary care provider (PCP) like Chaparral School Base sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIRGIL MEDINA

Authorized Official Title
CEO
Authorized Official Phone
(575) 526-1105

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
94527300MEDICAID (05)NM 
321954OTHER (01)NMMEDICARE

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
32D2244721
Facility Type
School/Student Health Service
Certificate Effective Date
December 05, 2023
Certificate Expiration Date
December 04, 2025
Laboratory Director
JUDITH BAUER-CREEGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chaparral School Base 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 CHAPARRAL SCHOOL BASE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1962862938
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122166496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 6 + 4 + 9 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1962862938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912358300 SARA RUFASTO LMSW
Individual
Social Worker800 S COUNTY LINE DR
CHAPARRAL, NM 88081
(575) 525-4815
1215493424 TAWNI PETRUNGARO RN
Individual
Registered Nurse (School)800 S COUNTY LINE DR
CHAPARRAL, NM 88081
(575) 882-1018
1235787193 ALEJANDRA GALINDO
Individual
Social Worker (School)800 S COUNTY LINE DR
CHAPARRAL, NM 88081
(575) 882-6101
1700242112 GUSTAVO GUTIERREZ CPNP
Individual
Nurse Practitioner800 S COUNTY LINE DR
CHAPARRAL, NM 88081
(575) 824-0820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962862938, enumerated in the NPI registry as an "organization" on March 03, 2016

The provider is located at 800 S County Line Dr Chaparral, Nm 88081 and the phone number is (575) 525-4815

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

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 32D2244721 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 March 03, 2016. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.