El Centro Family Health Espanola Dental Clinic
LBN: El Centro Family Health
El Centro Family Health Espanola Dental Clinic is an health care organization with primary practice located at 608 La Joya St Ste B , Espanola NM 87532-3467. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
El Centro Family Health can be contacted via phone (505) 753-9454, or through Pease, Lore via phone (505) 753-7218.
Contact Information
Primary practice address
608 La Joya St Ste B
Espanola NM 87532-3467
Phone: (505) 753-9454
Fax: (505) 753-0850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1952661282 |
|---|---|
| LBN Legal business name | El Centro Family Health |
| DBA Doing business as | El Centro Family Health Espanola Dental Clinic |
| Authorized official | Pease, Lore |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Jun 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952661282 | NPPES |
| New Mexico | Other | 1780689034 | ORGANIZATION NPPES |
| New Mexico | MEDICAID | 47953063 | ORGANIZATION NPPES |
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