El Centro Family Health | |
1401 8th Street Springer NM 87747 | |
(505) 753-7218 | |
(505) 747-5946 |
Full Name | El Centro Family Health |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1401 8th Street, Springer, New Mexico |
Authorized Official Name and Position | Jerome Tywan Williams (COO) |
Authorized Official Contact | 5057475939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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El Centro Family Health Po Box 158 Espanola NM 87532-0158 Ph: (505) 753-7218 | El Centro Family Health 1401 8th Street Springer NM 87747 Ph: (505) 753-7218 |
NPI Number | 1669930392 |
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Provider Enumeration Date | 03/12/2019 |
Last Update Date | 03/12/2019 |
Identifier | Type | State | Issuer |
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1669930392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
El Centro Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 4th Street, Springer, NM 87747 Phone: 575-483-0282 Fax: 575-483-0381 |