El Centro Family Health in Espanola - Federally Qualified Health Center (fqhc)
El Centro Family Health - NPI 1780689034
El Centro Family Health is a Federally Qualified Health Center (fqhc) in Espanola, 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 1780689034. The last update date is 2014-11-12.
El Centro Family Health's current location address is 538 N Paseo De Onate, Espanola, New Mexico. You can contact this provider via phone number 5057537218 and fax number 5057477396. The mailing address for El Centro Family Health is 538 N Paseo De Onate, Espanola, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | El Centro Family Health |
|---|---|
| Address | 538 N Paseo De Onate, Espanola, New Mexico |
| Phone Number | 5057537218 |
| Fax Number | 5057477396 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pease Lore |
| Telephone Number | 5057537218 |
NPI Number Detail
| NPI Number | 1780689034 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2014-11-12 |
Provider Mailing Address Detail
| Address | 538 N Paseo De Onate |
|---|---|
| City | Espanola |
| State | New Mexico (NM) |
| Post Code | 8753226180 |
| Phone Number | 5057537218 |
| Fax Number | 5057477396 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 6099 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NMB2453 | NM | MEDICARE PART B PTAN |
Post Comment/ Review Below
What is the El Centro Family Health's 1780689034?
The El Centro Family Health's NPI (National Provider Identifier) Number is 1780689034. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where El Centro Family Health's facilities are situated?
The facilities of El Centro Family Health are physically located at the following address: 538 N Paseo De Onate, Espanola, NM, 8753226180.
What is El Centro Family Health's specialized field of practice, and what is the corresponding taxonomy classification code?
The El Centro Family Health's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780689034 to El Centro Family Health?
The Centers for Medicare & Medicaid Services assigned the 1780689034 to El Centro Family Health on 2005-06-14.
When was the El Centro Family Health's information last updated?
The El Centro Family Health's information was last updated on 2014-11-12.