| El Centro Family Health Rio Arriba Health Commons Clinic | |
|
2010 Industrial Park Rd Espanola NM 87532-3600 | |
| (505) 753-7218 | |
| (505) 753-5815 |
| Full Name | El Centro Family Health Rio Arriba Health Commons Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2010 Industrial Park Rd, Espanola, 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 Rio Arriba Health Commons Clinic Po Box 158 538 N Paseo De Onate Espanola NM 87532-0158 Ph: (505) 753-7395 | El Centro Family Health Rio Arriba Health Commons Clinic 2010 Industrial Park Rd Espanola NM 87532-3600 Ph: (505) 753-7218 |
| NPI Number | 1285899054 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20090113000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285899054 | NPI | - | NPPES |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| 50146 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6099 (New Mexico) | Primary |
Whole Self Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Pueblo Dr, Espanola, NM 87532 Phone: 506-747-3368 Fax: 505-367-0077 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 Spruce St, C & D, Espanola, NM 87532 Phone: 505-747-7400 Fax: 505-747-7403 | |
Valley First Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Santa Clara Bridge Rd, Espanola, NM 87532 Phone: 505-747-6939 Fax: 505-747-6816 | |
Ch Specialty Services Nm Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Coronado Ave, Espanola, NM 87532 Phone: 337-991-9276 | |
Espanola Advanced Center For Healing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Pueblo Dr, Espanola, NM 87532 Phone: 505-747-3368 Fax: 505-747-3368 | |
El Centro Family Health Evhs Sbhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 El Llano Rd, Espanola, NM 87532 Phone: 505-753-7357 Fax: 905-747-8659 |