EL CENTRO FAMILY HEALTH – NPI #1538561964
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

EL CENTRO FAMILY HEALTH is an AHC clinic located in LAS VEGAS, NM. NPPES has assigned the NPI number 1538561964 to EL CENTRO FAMILY HEALTH on September 17, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. EL CENTRO FAMILY HEALTH is also known by the name EL CENTRO FAMILY HEALTH MMS SBHC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 10 years ago on Mar 22, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EL CENTRO FAMILY HEALTH below.

NPI Profile for
EL CENTRO FAMILY HEALTH

NPI Number
1538561964
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EL CENTRO FAMILY HEALTH
Other Name: EL CENTRO FAMILY HEALTH MMS SBHC
Primary location
947 OLD NATIONAL ROAD
LAS VEGAS, NM 87701
Phone: (505) 454-2794 Fax:
Mailing address
538 N PASEO DE ONATE
P.O. BOX 158
ESPANOLA, NM 87532-2618
Phone: (505) 753-7218 Fax: (505) 853-5815
Organization Subpart
No
Authorized Official
LORE PEASE
CEO
Phone: (505) 753-7218
Updated
Identifiers

Identifiers for EL CENTRO FAMILY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPPESNM1780689034
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
NM 3394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.