| El Centro Family Health Las Vegas Clinic | |
|
1235 8th St Las Vegas NM 87701-4219 | |
| (505) 425-6788 | |
| (505) 425-5408 |
| Full Name | El Centro Family Health Las Vegas Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1235 8th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Lore Pease (CEO) |
| Authorized Official Contact | 5057537218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Centro Family Health Las Vegas Clinic 538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 Ph: (505) 753-7218 | El Centro Family Health Las Vegas Clinic 1235 8th St Las Vegas NM 87701-4219 Ph: (505) 425-6788 |
| NPI Number | 1548425911 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20090113000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548425911 | NPI | - | NPPES |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| 50062 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6101 (New Mexico) | Primary |
Las Vegas Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 7th St, Las Vegas, NM 87701 Phone: 505-425-6731 Fax: 505-454-1185 | |
New Mexico Behavioral Health Institute @ Las Vegas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 | |
Sangre De Cristo Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Airport Rd, Las Vegas, NM 87701 Phone: 505-718-6319 | |
San Miguel Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Legion Dr Ste A, Las Vegas, NM 87701 Phone: 505-454-9499 | |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 New Mexico Ave, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-553-1272 | |
Las Vegas Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Legion Dr Ste A, Las Vegas, NM 87701 Phone: 505-425-2662 Fax: 505-425-6410 | |
Sunrise Clinics - Wlv Middle/high Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 S Pacific Street, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-651-0289 |