El Centro Family Health

NPI #1912324724 in Penasco, New Mexico

Provider Information

NPI Number
1912324724
Entity Type
Organization
Organization Name
El Centro Family Health
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 19, 2014
Last Updated
Nov 21, 2014

Practice Location

Address
14190 STATE ROAD 75
ZIP Code
87553
Phone
(575) 587-2623

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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