institution
El Centro Family Health
Federally Qualified Health Center (FQHC) in Penasco, New Mexico
NPI 1164782462

El Centro Family Health is a Federally Qualified Health Center (FQHC) based in Espanola, NM and is specialized in Federally Qualified Health Center (FQHC). El Centro Family Health practices in Penasco, NM. The NPI Number for El Centro Family Health is 1164782462 and holds a License No. (New Mexico).

The current practice location address for El Centro Family Health is 15136 St. Rd., Penasco, NM and can be reached out via phone at 575-587-2809 and via fax at 575-587-2605.

Location: 15136 St. Rd., Penasco, NM, 87532-2618
institution
Provider Profile Details
NPI Number
1164782462
Provider Name
El Centro Family Health
Credential
Provider Entity Type
Organization
Address
15136 St. Rd., Penasco, NM, 87532-2618
Phone Number
575-587-2809
Fax Number
575-587-2605
Provider Enumeration Date
05/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780689034 01 NM ORGANIZATION NPPES
47092 05 NM
institution
Provider Business Practice Location Address Details
Address
15136 St. Rd.
City
State
Zip
87553-0000
Phone Number
575-587-2809
Fax Number
575-587-2605
person
Provider Business Mailing Address Details
Address
15136 St. Rd.
City
State
Zip
87553-0000
Phone Number
575-587-2809
Fax Number
575-587-2605
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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