institution
El Centro Family Health
Federally Qualified Health Center (FQHC) in Penasco, New Mexico
NPI 1912324724

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 1912324724 and holds a License No. (New Mexico).

The current practice location address for El Centro Family Health is 14190 State Road 75, Penasco, NM and can be reached out via phone at 575-587-2623 and via fax at 575-587-2317.

Location: 14190 State Road 75, Penasco, NM, 87532-2618
institution
Provider Profile Details
NPI Number
1912324724
Provider Name
El Centro Family Health
Credential
Provider Entity Type
Organization
Address
14190 State Road 75, Penasco, NM, 87532-2618
Phone Number
575-587-2623
Fax Number
575-587-2317
Provider Enumeration Date
03/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780689034 01 NM NPPES
03025365 05 NM
institution
Provider Business Practice Location Address Details
Address
14190 State Road 75
City
State
Zip
87553
Phone Number
575-587-2623
Fax Number
575-587-2317
person
Provider Business Mailing Address Details
Address
14190 State Road 75
City
State
Zip
87553
Phone Number
575-587-2623
Fax Number
575-587-2317
person
Provider's Taxonomy Details 1
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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