NEW MEXICO PRIMARY CARE TRAINING CONSORTIUM NPI 1528811775

NPI Information

  • NPI: 1528811775
  • Provider Name: NEW MEXICO PRIMARY CARE TRAINING CONSORTIUM
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Former Legal Business Name: EL CENTRO FAMILY HEALTH
  • CLIA Number: 32D2304394
  • Address: 2010 INDUSTRIAL PARK RD
    ESPANOLA, NM
    ZIP 87532
  • Phone: (505) 579-4255

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NPI Details

NEW MEXICO PRIMARY CARE TRAINING CONSORTIUM is a student in an organized health care education training program in Espanola, NM. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NEW MEXICO PRIMARY CARE TRAINING CONSORTIUM NPI is 1528811775. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is El Centro Family Health.

The provider's business location address is:

2010 INDUSTRIAL PARK RD
ESPANOLA, NM
ZIP 87532-600
Phone: (505) 579-4255

The provider's authorized official is Nora Lamartine .
The authorized official title is Program Director and has the following contact phone number (505) 579-4255.

The CLIA number assigned to this NPI record is 32D2304394 - other - medication assisted treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2024 and was last updated on 4/10/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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