El Centro Family Health
El Centro Family Health is a Dental Clinic/Center in Penasco, New Mexico. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
15136 St RdPenasco, NM 87553-0000
Phone: (575) 587-2809
Fax: (575) 587-2605
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X |
Record details
| NPI number | 1164782462 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lore Pease — Ceo · (505) 753-7218 |
| Other names | El Centro Family Health Penasco Dental Clinic; El Centro Family Health Penasco Dental Clinic |
| NPI enumerated | May 21, 2012 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
| Mailing address | 538 N Paseo De Onate, P.O. Box 158, Espanola, NM 87532-2618 |