SIERRA VISTA SCHOOL BASED CLINIC – NPI #1316475403
Clinic/Center

SIERRA VISTA SCHOOL BASED CLINIC is an AHC clinic located in LAS VEGAS, NM. NPPES has assigned the NPI number 1316475403 to SIERRA VISTA SCHOOL BASED CLINIC on June 01, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SIERRA VISTA SCHOOL BASED CLINIC” is a dba name, the actual legal business name for this organization is EL CENTRO FAMILY HEALTH. With multiple taxonomy codes selected, 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 3 years ago on Jun 07, 2023. 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 SIERRA VISTA SCHOOL BASED CLINIC below.

NPI Profile for
EL CENTRO FAMILY HEALTH

NPI Number
1316475403
Enumeration Date

(more than 9 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
Doing Business As (dba): SIERRA VISTA SCHOOL BASED CLINIC
Primary location
475 LEGION DR.
LAS VEGAS, NM 87701
Phone: (505) 425-6788 Fax:
Mailing address
PO BOX 158
ESPANOLA, NM 87532-0158
Phone: (505) 753-7218 Fax: (505) 747-7396
Organization Subpart
Yes - SIERRA VISTA SCHOOL BASED CLINIC is subpart of another organization.
Authorized Official
HEATHER RECTOR
CREDENTIALING SPECIALIST II
Phone: (505) 747-5946
Updated
Certification Date
Jun 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
207Q00000X
- Family Medicine

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.