Organization
EL CENTRO FAMILY HEALTH
Active
Other names
Springer SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME TYWAN WILLIAMS (COO)
(505) 747-5939
Entity
Organization
Contact information
Practice address
1401 8TH STREET, SPRINGER, NM 87747
(505) 753-7218
(505) 747-5946
Mailing address
PO BOX 158, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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