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Small Town Family Practice LLC

Primary Care Clinic/Center in Albuquerque, NM · enumerated 2021 · authorized official Deanna Clark, Co-Owner/ Co-Manager.

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

National Provider Identifier

1164194940

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Small Town Family Practice LLC
Practice address 4225 Montgomery Blvd Ne, Albuquerque, NM, 87109
Fax (505) 221-5429
Enumeration date Sep 30, 2021
Last updated in NPPES Sep 30, 2021

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Deanna Clark
Title Co-Owner/ Co-Manager

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Small Town Family Practice LLC?
Small Town Family Practice LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-30.