El Centro Family Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Roy, NM
NPI 1225306525 · NPPES record last updated Mar 22, 2016
Key facts
- NPI
- 1225306525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 2015/16-19 (NM)
- Legal business name
- EL CENTRO FAMILY HEALTH
- Practice address
- 375 East 6TH Street
Roy, NM 87743 - Phone
- (575) 485-0019
- Fax
- (575) 485-0020
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lore Pease
- Title
- Ceo
- Phone
- (505) 753-7218
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 2015/16-19 | NM | Yes |
Addresses
Primary practice location
375 East 6TH Street
Roy, NM 87743
Mailing address
538 N Paseo de Onate
P.O. Box 158
Espanola, NM 87532-2618
Phone (505) 753-7218
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780689034 | Other | NM | NPPES |
| 58957553 | Medicaid | NM |
Other names
- El Centro Family Health Roy SBHC
Other providers in Roy, NM
- El Centro Family Health
- Mary M Laumbach
- Janae Robinson
- Roy Municipal Schools
- Sabino Creek Behavioral Health Services, LLC
All providers in Roy, NM · Federally Qualified Health Center (FQHC) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.