El Centro Family Health

NPI #1790940716 in Penasco, New Mexico

Provider Information

NPI Number
1790940716
Entity Type
Organization
Organization Name
El Centro Family Health
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 21, 2008
Last Updated
May 4, 2015

Practice Location

Address
STATE ROAD 75 #15136
ZIP Code
87553-2627
Phone
(575) 587-2205

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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