EL CENTRO FAMILY HEALTH NPI 1134497431

NPI Information

EL CENTRO FAMILY HEALTH is a federally qualified health center (fqhc) clinic center in Taos, NM. EL CENTRO FAMILY HEALTH NPI is 1134497431. The provider is registered as an organization entity type.
The provider Other Name Is El Centro Family Health Taos Hs Sbhc.

The provider's business location address is:

134 CERVANTES ST
TAOS, NM
ZIP 87571-163
Phone: (575) 751-8032
Fax: (505) 753-7218

The provider's authorized official is Lore Pease .
The authorized official title is Ceo and has the following contact phone number (505) 753-7218.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 3/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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