EL CENTRO FAMILY HEALTH; NPI #1134497431

Contact Information

EL CENTRO FAMILY HEALTH

134 CERVANTES ST
TAOS, NM 87571-6163

Phone: 575-751-8032
Fax: 505-753-7218
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for EL CENTRO FAMILY HEALTH

NPI # 1134497431

LBN Legal business name EL CENTRO FAMILY HEALTH

Authorized official LORE PEASE - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/01/2011

Last updated 03/29/2016 - About 10 years ago

Identifiers

NM	License #	3516
NM	Other	1780689034	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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