Organization · Type 2 NPI
El Centro Family Health
Federally Qualified Health Center (FQHC) · Penasco, NM
NPI number
1790940716
Active
Practice location
State Road 75 #15136
Penasco, NM 87553-2627
Fax (575) 587-1944
Mailing address
538 N Paseo De Onate, P.o. Box 158
Espanola, NM 87532-2618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 6102 (NM) |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Penasco
About NPI 1790940716
El Centro Family Health's National Provider Identifier is 1790940716, issued on Jul 21, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Penasco, NM. The record was last updated on May 4, 2015.