| El Centro Family Health | |
|
1235 8th St Las Vegas NM 87701-4219 | |
| (505) 425-6677 | |
| (505) 425-9638 |
| Full Name | El Centro Family Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1235 8th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Lore Pease (CEO) |
| Authorized Official Contact | 5057537218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Centro Family Health 538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 Ph: (505) 753-7218 | El Centro Family Health 1235 8th St Las Vegas NM 87701-4219 Ph: (505) 425-6677 |
| NPI Number | 1770843070 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770843070 | NPI | - | NPPES |
| 50062 | Medicaid | NM | |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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