| El Centro Family Health | |
|
County Road 75 House #60 Truchas NM 87578-0346 | |
| (505) 689-2461 | |
| (505) 689-2462 |
| Full Name | El Centro Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | County Road 75 House #60, Truchas, 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 County Road 75 House #60 Truchas NM 87578-0346 Ph: (505) 689-2461 |
| NPI Number | 1467617837 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20090113000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467617837 | NPI | - | NPPES |
| 1780689034 | Other | NM | ORGANIZATION NPPES |
| 46920 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6250 (New Mexico) | Primary |