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De Baca Family Practice Clinic

Federally Qualified Health Center (FQHC) in Fort Sumner, NM · enumerated 2006 · authorized official Lisa Walraven, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003855032

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Registry record

Entity type Organization (Type 2)
Legal business name De Baca Family Practice Clinic
Practice address 546 N. Tenth St, Fort Sumner, NM, 88119
Enumeration date Jun 5, 2006
Last updated in NPPES Oct 14, 2025

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Lisa Walraven
Title Ceo

Other identifiers

Identifier Type State Issuer
321863 Other NM NGS ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is De Baca Family Practice Clinic located?
The practice location on file with NPPES is in Fort Sumner, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.