Organization · Type 2 NPI
El Centro Family Health
Federally Qualified Health Center (FQHC) · Las Vegas, NM
NPI number
1316475403
Active
Practice location
475 Legion Dr.
Las Vegas, NM 87701
Mailing address
PO Box 158
Espanola, NM 87532-0158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1316475403
El Centro Family Health's National Provider Identifier is 1316475403, issued on Jun 1, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Las Vegas, NM. The record was last updated on Jun 7, 2023.