Health Centers Of Northern New Mexico

LBN: El Centro Family Health
Health Centers Of Northern New Mexico is an health care organization with primary practice located at 538 N Paseo De Onate , Espanola NM 87532-2618. 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) 753-7218, or through Pease, Lore via phone (505) 753-7218.

Contact Information

Primary practice address
538 N Paseo De Onate Espanola NM 87532-2618
Fax: (505) 747-7396
Website:
Authorized official contact:
Name: Pease, Lore

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6099 New Mexico

Profile Details

NPI number 1780689034
LBN Legal business name El Centro Family Health
DBA Doing business as Health Centers Of Northern New Mexico
Authorized official Pease, Lore
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Nov 12th, 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 1780689034 NPPES
New Mexico Other NMB2453 MEDICARE PART B PTAN

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