| El Centro Family Health | |
|
502 4th Street Springer NM 87747 | |
| (575) 483-0282 | |
| (575) 483-0381 |
| Full Name | El Centro Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 4th Street, Springer, New Mexico |
| Authorized Official Name and Position | Lore Pease (CEO) |
| Authorized Official Contact | 5057537218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Centro Family Health 538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 Ph: (505) 753-7218 | El Centro Family Health 502 4th Street Springer NM 87747 Ph: (575) 483-0282 |
| NPI Number | 1629233317 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20090113000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629233317 | NPI | - | NPPES |
| L1947 | Medicaid | NM | |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6523 (New Mexico) | Primary |
El Centro Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 8th Street, Springer, NM 87747 Phone: 505-753-7218 Fax: 505-747-5946 |