EL CENTRO FAMILY HEALTH NPI 1407011315

NPI Information

EL CENTRO FAMILY HEALTH is a federally qualified health center (fqhc) clinic center in Embudo, NM. EL CENTRO FAMILY HEALTH NPI is 1407011315. The provider is registered as an organization entity type.
The provider Other Name Is El Centro Family Health Embudo Clinic.

The provider's business location address is:

HWY 68 #2243 RINCONADA
EMBUDO, NM
ZIP 87531-627
Phone: (505) 579-4255
Fax: (505) 579-4669

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 7/21/2008 and was last updated on 3/4/2015.

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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