institution
El Centro Family Health
Federally Qualified Health Center (FQHC) in Las Vegas, New Mexico
NPI 1912127630

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 Las Vegas, NM. The NPI Number for El Centro Family Health is 1912127630 and holds a License No. 6205 (New Mexico).

The current practice location address for El Centro Family Health is 901 Baca, Las Vegas, NM and can be reached out via phone at 505-454-3218 and via fax at 505-426-2219.

Location: 901 Baca, Las Vegas, NM, 87532-2618
institution
Provider Profile Details
NPI Number
1912127630
Provider Name
El Centro Family Health
Credential
Provider Entity Type
Organization
Address
901 Baca, Las Vegas, NM, 87532-2618
Phone Number
505-454-3218
Fax Number
505-426-2219
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
321930 05 NM
1780689034 01 NM ORGANIZATION NPPES
institution
Provider Business Practice Location Address Details
Address
901 Baca
City
State
Zip
87701-2627
Phone Number
505-454-3218
Fax Number
505-426-2219
person
Provider Business Mailing Address Details
Address
901 Baca
City
State
Zip
87701-2627
Phone Number
505-454-3218
Fax Number
505-426-2219
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6205 (New Mexico)
Definition
Definition to come...
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