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El Centro Family Health

El Centro Family Health is a health care provider in Espanola, NM. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location State Road 96, House #3396, Coyote, NM 87012-0040, US
Practice Location Phone575-638-5487
Practice Location Fax575-638-9123
Legal Business NameEL CENTRO FAMILY HEALTH
Other Organization NameEL CENTRO FAMILY HEALTH COYOTE CLINIC
Other Organization Name TypeAn Other Name
NPI ?1619132362
Entity TypeOrganization
Enumeration Date ? Jul 22, 2008
Last Update Date ? Nov 21, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of El Centro Family Health

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) 6000New Mexico

legacy-id-icon Legacy Provider IDs of El Centro Family Health

Provider IdIssuer StateIssuer TypeIssuer
1780389034New MexicoOtherORGANIZATION NPPES
47142New MexicoMedicaid

official-icon Authorized Official of El Centro Family Health

An authorized official is an appointed official with the legal authority to make changes and/or updates to the El Centro Family Health's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Lore Pease
Authorized Official Title/PositionCEO
Authorized Official Phone Number505-753-7218