| El Centro Family Health | |
|
1331 Gusdorf Rd Taos NM 87571-6282 | |
| (575) 758-3601 | |
| (575) 758-1058 |
| Full Name | El Centro Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1331 Gusdorf Rd, Taos, 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 1331 Gusdorf Rd Taos NM 87571-6282 Ph: (575) 758-3601 |
| NPI Number | 1932407681 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20120514000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932407681 | NPI | - | NPPES |
| 95534377 | Medicaid | NM | |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 3385 (New Mexico) | Primary |
El Centro Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Paseo Del Canon E, Taos, NM 87571 Phone: 575-751-8032 Fax: 575-758-7088 | |
Crossroads Community Health Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd, Suite O, Taos, NM 87571 Phone: 575-776-7806 | |
El Centro Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 134 Cervantes St, Taos, NM 87571 Phone: 575-751-8032 Fax: 505-753-7218 | |
Taos Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1329 Gusdorf Rd, Taos, NM 87571 Phone: 575-737-3415 Fax: 575-737-3416 | |
Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Paseo Del Pueblo Sur, Taos, NM 87571 Phone: 505-758-3005 | |
White Crane Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Gusdorf Rd, Ste. E, Taos, NM 87571 Phone: 505-758-2700 Fax: 505-758-2700 | |
Taos Whole Health Integrative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Maestas Rd, Taos, NM 87571 Phone: 575-776-7806 Fax: 575-224-3348 |