El Centro Family Health in Roy - Federally Qualified Health Center (fqhc)
El Centro Family Health - NPI 1275798969
El Centro Family Health is a Federally Qualified Health Center (fqhc) in Roy, New Mexico. El Centro Family Health practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for El Centro Family Health is 1275798969. The last update date is 2014-11-21.
El Centro Family Health's current location address is 555 Wagon Mound Highway, Roy, New Mexico. You can contact this provider via phone number 5754852484 and fax number 5754852261. The mailing address for El Centro Family Health is 555 Wagon Mound Highway, Roy, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | El Centro Family Health |
|---|---|
| Address | 555 Wagon Mound Highway, Roy, New Mexico |
| Phone Number | 5754852484 |
| Fax Number | 5754852261 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pease Lore |
| Telephone Number | 5057537218 |
NPI Number Detail
| NPI Number | 1275798969 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2014-11-21 |
Provider Mailing Address Detail
| Address | 555 Wagon Mound Highway |
|---|---|
| City | Roy |
| State | New Mexico (NM) |
| Post Code | 877430148 |
| Phone Number | 5754852484 |
| Fax Number | 5754852261 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 6103 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1780689034 | NM | ORGANIZATION NPPES | |
| 45542 | NM | -- |
Post Comment/ Review Below
What is the El Centro Family Health's unique identification number?
The El Centro Family Health has been assigned the NPI (National Provider Identifier) Number 1275798969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where El Centro Family Health is physically located?
The El Centro Family Health is situated at the following address: 555 Wagon Mound Highway, Roy, NM 877430148.
What is El Centro Family Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The El Centro Family Health's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275798969 to El Centro Family Health?
The Centers for Medicare & Medicaid Services originally issued the 1275798969 to El Centro Family Health on 2008-07-23.
When was the information pertaining to El Centro Family Health most recently updated or revised?
The details related to El Centro Family Health, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-21.
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