El Centro Family Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Springer, NM
NPI 1669930392 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1669930392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- EL CENTRO FAMILY HEALTH
- Practice address
- 1401 8TH Street
Springer, NM 87747 - Phone
- (505) 753-7218
- Fax
- (505) 747-5946
- NPI assigned
- Mar 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Jerome Tywan Williams
- Title
- Coo
- Phone
- (505) 747-5939
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1401 8TH Street
Springer, NM 87747
Mailing address
PO Box 158
Espanola, NM 87532-0158
Phone (505) 753-7218
Other names
- Springer SBHC
Other providers in Springer, NM
- Melissa Brown
- Gayle Ann Bustos
- Francesca Chavez
- Erika Derkes
- El Centro Family Health
- Stephen Evers
- First Choice Pharmacy
- Gina Marie Gamel
- Jake Gamel
- Jo Anne Jackson
All providers in Springer, 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 12, 2019. 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.