El Centro Family Health Bond Clinic

LBN: El Centro Family Health
El Centro Family Health Bond Clinic is an health care organization with primary practice located at 711 Bond St. , Espanola NM 87532-2729. 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) 753-9503, or through Pease, Lore via phone (505) 753-7218.

Contact Information

Primary practice address
711 Bond St. Espanola NM 87532-2729
Phone: (505) 753-9503
Fax: (505) 747-1004
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

Profile Details

NPI number 1821373812
LBN Legal business name El Centro Family Health
DBA Doing business as El Centro Family Health Bond Clinic
Authorized official Pease, Lore
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2011
Last updated Nov 25th, 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 1821373812 NPPES
New Mexico MEDICAID 118395554
New Mexico Other 1780689034

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