EL CENTRO FAMILY HEALTH – NPI #1225306525
Clinic/Center

EL CENTRO FAMILY HEALTH is an AHC clinic located in ROY, NM. NPPES has assigned the NPI number 1225306525 to EL CENTRO FAMILY HEALTH on December 01, 2011. 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 ROY SBHC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

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
1225306525
Enumeration Date

(more than 14 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 ROY SBHC
Primary location
375 EAST 6TH STREET
ROY, NM 87743
Phone: (575) 485-0019 Fax: (575) 485-0020
Mailing address
538 N PASEO DE ONATE
P.O. BOX 158
ESPANOLA, NM 87532-2618
Phone: (505) 753-7218 Fax: (505) 753-5815
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
MEDICAIDNM58957553
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NM 2015/16-19

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.