El Centro Family Health in Wagon Mound - Federally Qualified Health Center (fqhc)
El Centro Family Health - NPI 1538324223
El Centro Family Health is a Federally Qualified Health Center (fqhc) in Wagon Mound, 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 1538324223. The last update date is 2014-11-21.
El Centro Family Health's current location address is 604 Catron Avenue, Wagon Mound, New Mexico. You can contact this provider via phone number 5756662288 and fax number 5756662186. The mailing address for El Centro Family Health is 604 Catron Avenue, Wagon Mound, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | El Centro Family Health |
|---|---|
| Address | 604 Catron Avenue, Wagon Mound, New Mexico |
| Phone Number | 5756662288 |
| Fax Number | 5756662186 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pease C. Lore |
| Telephone Number | 5057537218 |
NPI Number Detail
| NPI Number | 1538324223 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2014-11-21 |
Provider Mailing Address Detail
| Address | 604 Catron Avenue |
|---|---|
| City | Wagon Mound |
| State | New Mexico (NM) |
| Post Code | 877520063 |
| Phone Number | 5756662288 |
| Fax Number | 5756662186 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 47670 |
|
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 | |
| 47670 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to El Centro Family Health by the Centers for Medicare & Medicaid Services?
The El Centro Family Health has been issued the NPI (National Provider Identifier) 1538324223. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of El Centro Family Health?
The El Centro Family Health is situated at 604 Catron Avenue, in the city of Wagon Mound, state of NM, with the zip code 877520063.
What is El Centro Family Health's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for El Centro Family Health is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the El Centro Family Health receive its 1538324223 assignment from the Centers for Medicare & Medicaid Services?
The El Centro Family Health was assigned its 1538324223 by the Centers for Medicare & Medicaid Services on 2008-07-23.
As of what date were the El Centro Family Health's details last updated?
The information pertaining to the El Centro Family Health, including its address, specialty, and other details, was most recently updated on 2014-11-21.
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