| El Centro Family Health Nmhu Highlands Clinic | |
|
901 Baca Las Vegas NM 87701-2627 | |
| (505) 454-3218 | |
| (505) 426-2219 |
| Full Name | El Centro Family Health Nmhu Highlands Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Baca, 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 Nmhu Highlands Clinic Po Box 158 538 N Paseo De Onate Espanola NM 87532-2618 Ph: (505) 753-7218 | El Centro Family Health Nmhu Highlands Clinic 901 Baca Las Vegas NM 87701-2627 Ph: (505) 454-3218 |
| NPI Number | 1912127630 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20140725000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912127630 | NPI | - | NPPES |
| 321930 | Medicaid | NM | |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6205 (New Mexico) | Primary |
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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 |