El Centro Family Health

NPI #1619132362 in Coyote, New Mexico

Provider Information

NPI Number: 1619132362
Entity Type: Organization
Organization Name: El Centro Family Health
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 22, 2008
Last Updated: Nov 21, 2014

Practice Location

Address: STATE ROAD 96
Address 2: HOUSE #3396
City: Coyote
State: New Mexico
ZIP Code: 87012-0040
Phone: (575) 638-5487

Authorized Official

Name: MRS. LORE PEASE
Title: CEO
Phone: (505) 753-7218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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