| Centro De Salud Familiar La Fe, Inc. | |
|
200 Lisbon St El Paso TX 79905-5123 | |
| (915) 778-9200 | |
| Not Available |
| Full Name | Centro De Salud Familiar La Fe, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Lisbon St, El Paso, Texas |
| Authorized Official Name and Position | Lucy Rodarte (CFO) |
| Authorized Official Contact | 9155347979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud Familiar La Fe, Inc. 1314 E. Yandell El Paso TX 79902 Ph: (915) 534-7979 | Centro De Salud Familiar La Fe, Inc. 200 Lisbon St El Paso TX 79905-5123 Ph: (915) 778-9200 |
| NPI Number | 1285768564 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 7315937448 |
|---|---|
| Medicare Enrollment ID | O20080825000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768564 | NPI | - | NPPES |
| 136357405 | Medicaid | TX | |
| 136357404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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