institution
El Centro Family Health
Federally Qualified Health Center (FQHC) in Espanola, New Mexico
NPI 1780689034

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 Espanola, NM. The NPI Number for El Centro Family Health is 1780689034 and holds a License No. 6099 (New Mexico).

The current practice location address for El Centro Family Health is 538 N Paseo De Onate, Espanola, NM and can be reached out via phone at 505-753-7218 and via fax at 505-747-7396.

Location: 538 N Paseo De Onate, Espanola, NM, 87532-2618
institution
Provider Profile Details
NPI Number
1780689034
Provider Name
El Centro Family Health
Credential
Provider Entity Type
Organization
Address
538 N Paseo De Onate, Espanola, NM, 87532-2618
Phone Number
505-753-7218
Fax Number
505-747-7396
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NMB2453 01 NM MEDICARE PART B PTAN
institution
Provider Business Practice Location Address Details
Address
538 N Paseo De Onate
City
State
Zip
87532-2618
Phone Number
505-753-7218
Fax Number
505-747-7396
person
Provider Business Mailing Address Details
Address
538 N Paseo De Onate
City
State
Zip
87532-2618
Phone Number
505-753-7218
Fax Number
505-747-7396
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6099 (New Mexico)
Definition
Definition to come...
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