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Contact Information

EL CENTRO FAMILY HEALTH
2010 INDUSTRIAL PARK RD
ESPAÑOLA, NM87532-3600
 Phone: 505-753-7218
 Fax: 505-753-5815
 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 Number 1285899054
LBN Legal business name EL CENTRO FAMILY HEALTH
Authorized official LORE PEASE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2008
Last updated 11/25/2014 - About 12 years ago
Identifiers
NM License # 6099
NM Medicaid 50146
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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