El Centro Family Health
NPI #1164782462 in Penasco, New Mexico
Provider Information
- NPI Number
- 1164782462
- Entity Type
- Organization
- Organization Name
- El Centro Family Health
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 21, 2012
- Last Updated
- Jun 7, 2023
Practice Location
- Address
- 15136 ST. RD.
- City
- Penasco
- State
- New Mexico
- ZIP Code
- 87553-0000
- Phone
- (575) 587-2809
Authorized Official
- Name
- MRS. LORE PEASE, CEO
- Title
- CEO
- Phone
- (505) 753-7218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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