NPIMap

Organization Active NPI

Centro de Salud Familiar la Fe, Inc

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
National Provider Identifier
1699058057
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO DE SALUD FAMILIAR LA FE, INC
Practice address
823 E Yandell Dr
El Paso, TX 79902-5331
Phone
(915) 545-7205
NPI assigned
Sep 22, 2011
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucy Rodarte
Title
Chief Financial Officer
Phone
(915) 534-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

823 E Yandell Dr
El Paso, TX 79902-5331

Mailing address

1314 E Yandell Dr
El Paso, TX 79902-5529
Phone (915) 534-7979

Other identifiers 2

IdentifierTypeStateIssuer
136357405MedicaidTX
136357414MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address norma.barron@lafe-ep.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140721000300 TX Part A Provider - Federally Qualified Health Center (FQHC) 7315937448 Practice locations: El Paso, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699058057. Details of each certification follow.

Federally qualified health center certification: CCN 741856

Legal name
CENTRO DE SALUD FAMILIAR LA FE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 17, 2014
Last certification
Oct 17, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 24, 1974 in TX
Enrollment address
823 E Yandell Dr
El Paso, TX 79902-5331

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Fam la8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

823 E Yandell Dr
El Paso, TX 79902
Phone (915) 545-7205

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Guadalupe Perez Individual Corporate DirectorBoard Member May 1, 2014
Efren Fernandez Individual Corporate DirectorBoard Member May 1, 2014
Lucy a Lara Individual Corporate DirectorBoard Member May 1, 2014
Sofia Cazares Individual Corporate DirectorBoard Member Nov 20, 2021
Maria Nevarez Individual Corporate DirectorBoard Member Jan 1, 2023
Adrian Frias Individual Corporate DirectorBoard Member Jan 20, 2022
Lucy Rodarte Individual Corporate OfficerCfo Jun 29, 2004
W-2 Managing EmployeeCfo Jun 29, 2004
Ricardo Arguelles Individual Corporate DirectorBoard Member Jun 19, 2014
Juan Alderete Individual Corporate DirectorBoard Member Feb 28, 2015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1699058057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025529",
            "telephone_number": "915-534-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025331",
            "telephone_number": "915-545-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD FAMILIAR LA FE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RODARTE",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "915-534-7979"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136357405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136357414",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "norma.barron@lafe-ep.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1314 E Yandell Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799025529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.