EL CENTRO FAMILY HEALTH NPI 1932407681

NPI Information

NPI: 1932407681
Provider Name: EL CENTRO FAMILY HEALTH

Other Name: EL CENTRO FAMILY HEALTH TAOS CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1331 GUSDORF RD
TAOS, NM
ZIP 87571
Phone: (575) 758-3601
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EL CENTRO FAMILY HEALTH is a federally qualified health center (fqhc) clinic center in Taos, NM. EL CENTRO FAMILY HEALTH NPI is 1932407681. The provider is registered as an organization entity type.
The provider Other Name Is El Centro Family Health Taos Clinic.

The provider's business location address is:

1331 GUSDORF RD
TAOS, NM
ZIP 87571-282
Phone: (575) 758-3601
Fax: (575) 758-1058

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 3/4/2011 and was last updated on 11/21/2014.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	3385	NEW MEXICO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1780689034	OTHER	NEW MEXICO	ORGANIZATION NPPES
2	95534377	MEDICAID	NEW MEXICO
3	321921	MEDICARE PIN	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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