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.
|Practice Location|| State Road 96, House #3396, Coyote, NM 87012-0040, US |
|Practice Location Phone||575-638-5487|
|Practice Location Fax||575-638-9123|
|Legal Business Name||EL CENTRO FAMILY HEALTH|
|Other Organization Name||EL CENTRO FAMILY HEALTH COYOTE CLINIC|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||Jul 22, 2008|
|Last Update Date ? ||Nov 21, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of El Centro Family Health
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) ||6000||New Mexico|
Legacy Provider IDs of El Centro Family Health
|Provider Id||Issuer State||Issuer Type||Issuer|
|1780389034||New Mexico||Other||ORGANIZATION NPPES|
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/Position||CEO|
|Authorized Official Phone Number||505-753-7218|