institution
El Centro Family Health
Federally Qualified Health Center (FQHC) in Wagon Mound, New Mexico
NPI 1538324223

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 Wagon Mound, NM. The NPI Number for El Centro Family Health is 1538324223 and holds a License No. 47670 (New Mexico).

The current practice location address for El Centro Family Health is 604 Catron Avenue, Wagon Mound, NM and can be reached out via phone at 575-666-2288 and via fax at 575-666-2186.

Location: 604 Catron Avenue, Wagon Mound, NM, 87532-2618
institution
Provider Profile Details
NPI Number
1538324223
Provider Name
El Centro Family Health
Credential
Provider Entity Type
Organization
Address
604 Catron Avenue, Wagon Mound, NM, 87532-2618
Phone Number
575-666-2288
Fax Number
575-666-2186
Provider Enumeration Date
07/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1780689034 01 NM ORGANIZATION NPPES
47670 05 NM
institution
Provider Business Practice Location Address Details
Address
604 Catron Avenue
City
State
Zip
87752-0063
Phone Number
575-666-2288
Fax Number
575-666-2186
person
Provider Business Mailing Address Details
Address
604 Catron Avenue
City
State
Zip
87752-0063
Phone Number
575-666-2288
Fax Number
575-666-2186
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
47670 (New Mexico)
Definition
Definition to come...
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