Organization
EL CENTRO FAMILY HEALTH
Active
Parent organization
EL CENTRO FAMILY HEALTH
Other names
El Centro Family Health Taos HS SBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EL CENTRO FAMILY HEALTH
Authorized official
MRS. LORE PEASE (CEO)
(505) 753-7218
Entity
Organization
Contact information
Practice address
134 CERVANTES ST, TAOS, NM 87571-6163
(575) 751-8032
(505) 753-7218
Mailing address
538 N PASEO DE ONATE, P.O. BOX 158, ESPANOLA, NM 87532-2618
(505) 753-7218
(505) 753-5581
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
3516
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780689034
NPPES
NM
Enumeration date
12/01/2011
Last updated
03/29/2016
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