El Centro Family Health Cvmhs Sbhc

LBN: El Centro Family Health
El Centro Family Health Cvmhs Sbhc is an health care organization with primary practice located at 1260 Industrial Park Rd , Espanola NM 87532-3503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. El Centro Family Health can be contacted via phone (505) 753-1348, or through Pease, Lore via phone (505) 753-7218.

Contact Information

Primary practice address
1260 Industrial Park Rd Espanola NM 87532-3503
Phone: (505) 753-1348
Fax: (505) 747-7332
Website:
Map and Directions
Authorized official contact:
Name: Pease, Lore
Phone: (505) 753-7218

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Mexico

Profile Details

NPI number 1457798712
LBN Legal business name El Centro Family Health
DBA Doing business as El Centro Family Health Cvmhs Sbhc
Authorized official Pease, Lore
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2013
Last updated Nov 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457798712 NPPES
New Mexico MEDICAID 215159844
New Mexico Other 1780689034

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