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Contact Information

EL CENTRO FAMILY HEALTH
4TH & PARQUE AVENUE
MAXWELL, NM87728-0275
 Phone: 575-375-2389
 Fax: 575-375-2379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for EL CENTRO FAMILY HEALTH

NPI # 1013296425
LBN Legal business name EL CENTRO FAMILY HEALTH
Authorized official LORE PEASE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2011
Last updated 11/20/2015 - About 11 years ago
Identifiers
NM Medicaid 20920334
NM Other 1780689034 ORGANIZATION NPPES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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