De Baca Family Practice Clinic
NPI 1114737483 · Federally Qualified Health Center (FQHC) · Fort Sumner, NM
De Baca Family Practice Clinic is a Federally Qualified Health Center (FQHC) organization in Fort Sumner, NM (NPI 1114737483).
Provider details
- NPI number
- 1114737483
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- De Baca Family Practice Clinic
- Organization subpart
- Yes
- Authorized official
- Lisa Walraven, Ceo(575) 355-2420
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- De Baca Family Practice Clinic/Mobile Unit
Registry dates
- Enumerated
- 2025-01-09
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Frequently asked questions
- What is De Baca Family Practice Clinic's NPI number?
- De Baca Family Practice Clinic's National Provider Identifier (NPI) is 1114737483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De Baca Family Practice Clinic?
- De Baca Family Practice Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is De Baca Family Practice Clinic located?
- De Baca Family Practice Clinic's practice location on file with NPPES is 546 N 10th Street, Fort Sumner, NM 88119.
- What is De Baca Family Practice Clinic's phone number?
- The practice phone number listed in the NPPES registry for De Baca Family Practice Clinic is (575) 355-2414.
- Who is the authorized official for De Baca Family Practice Clinic?
- The authorized official listed on De Baca Family Practice Clinic's NPPES record is Lisa Walraven, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De Baca Family Practice Clinic's NPI active?
- Yes — De Baca Family Practice Clinic's NPI (1114737483) is active in the NPPES registry as of the last update on 2025-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.