Organization
EL CENTRO FAMILY HEALTH
Active
Other names
El Centro Family Health Bond Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORE PEASE (CEO)
(505) 753-7218
Entity
Organization
Contact information
Practice address
711 BOND ST., ESPANOLA, NM 87532-2729
(505) 753-9503
(505) 747-1004
Mailing address
PO BOX 158, 538 N PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118395554
—
NM
01
—
1780689034
ORGANIZATION NPPES
NM
Enumeration date
10/21/2011
Last updated
11/25/2014
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