El Centro Family Health
El Centro Family Health is a Federally Qualified Health Center (FQHC) in Penasco, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.
- Licensed in
- NM
- In the registry since
- 2008
Practice location Address checks out
State Road 75 #15136Penasco, NM 87553-2627
Phone: (575) 587-2205
Fax: (575) 587-1944
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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 · Licence 6102 (NM) |
|---|
Record details
| NPI number | 1790940716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lore Pease — Ceo · (505) 753-7218 |
| Other names | El Centro Family Health Penasco Clinic |
| NPI enumerated | July 21, 2008 |
| Last updated in NPPES | May 4, 2015 |
| Mailing address | 538 N Paseo De Onate, P.O. Box 158, Espanola, NM 87532-2618 |
Other providers in Penasco
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El Centro Family Health
14190 State Road 75, Penasco, NM 87553 · (575) 587-2623