Organization
EL CENTRO FAMILY HEALTH
Active
Other names
El Centro Family Health Wagon Mound Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORE C. PEASE (CEO)
(505) 753-7218
Entity
Organization
Contact information
Practice address
604 CATRON AVENUE, WAGON MOUND, NM 87752-0063
(575) 666-2288
(575) 666-2186
Mailing address
538 N PASEO DE ONATE, P.O. BOX 158, ESPANOLA, NM 87532-2618
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
47670
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780689034
ORGANIZATION NPPES
NM
05
—
47670
—
NM
Enumeration date
07/23/2008
Last updated
11/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us