El Centro Family Health Truchas Clinic | |
County Road 75 House #60 Truchas NM 87578-0346 | |
(505) 689-2461 | |
(505) 689-2462 |
Full Name | El Centro Family Health Truchas Clinic |
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Speciality | Clinic/Center |
Location | County Road 75 House #60, Truchas, 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 |
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El Centro Family Health Truchas Clinic 538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 Ph: (505) 753-7218 | El Centro Family Health Truchas Clinic County Road 75 House #60 Truchas NM 87578-0346 Ph: (505) 689-2461 |
NPI Number | 1467617837 |
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Provider Enumeration Date | 07/24/2008 |
Last Update Date | 11/21/2014 |
Medicare PECOS PAC ID | 9830080688 |
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Medicare Enrollment ID | O20090113000777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467617837 | NPI | - | NPPES |
1780689034 | Other | NM | ORGANIZATION NPPES |
46920 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6250 (New Mexico) | Primary |