| Centro De Salud Familiar La Fe, Inc. | |
|
12101 Socorro Rd. San Elizario TX 79849 | |
| (915) 851-5519 | |
| (915) 851-0558 |
| Full Name | Centro De Salud Familiar La Fe, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12101 Socorro Rd., San Elizario, Texas |
| Authorized Official Name and Position | Lucy Rodarte (CHIEF FINANCIAL OFFICER) |
| 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. 12101 Socorro Rd. San Elizario TX 79849 Ph: (915) 851-5519 |
| NPI Number | 1801920632 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 7315937448 |
|---|---|
| Medicare Enrollment ID | O20080825000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801920632 | NPI | - | NPPES |
| 136357405 | Medicaid | TX | |
| 136357414 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Project Vida Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Herring Road, San Elizario, TX 79849 Phone: 915-465-1191 | |
Centro San Vicente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13017 Perico St, San Elizario, TX 79849 Phone: 915-851-0999 Fax: 915-851-6060 |