NPIMap

Organization Active NPI

Centro de Salud Familiar la Fe, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Elizario, TX
National Provider Identifier
1801920632
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
12101 Socorro Rd.
San Elizario, TX 79849
Phone
(915) 851-5519
Fax
(915) 851-0558
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
CENTRO DE SALUD FAMILIAR LA FE, INC.As reported in NPPES

Authorized official

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 7

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

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0900070Centro de Salud Familiar la Fe - San12101 Socorro, San Elizario, TX 79849Certificate of waiverApr 16, 2027

Medicare participation

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

Federally qualified health center certification: CCN 451899

Medicare enrollment files
Legal name
CENTRO DE SALUD FAMILIAR LA FE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 7, 1994
Last certification
Nov 7, 1994
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 24, 1974 in TX
Enrollment address
12101 Socorro Rd
San Elizario, TX 79849-7393

All disclosed owners & managing parties 9

Medicare enrollment files

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

NameRoleSinceShare
German Macias Sandoval Individual Corporate Director May 28, 2015
Vianey Rodriguez Individual Corporate Director Jan 16, 2014
Guadalupe Perez Individual Corporate Director Aug 25, 2008
Joanne K Nugent Individual Corporate Director Mar 29, 2012
Efren Fernandez Individual Corporate Director Aug 25, 2008
Robert Gonzales Individual Corporate Officer Oct 1, 2001
Corporate Director Aug 25, 2008
W-2 Managing Employee Aug 25, 2008
Lucy a Lara Individual Corporate Director Aug 25, 2008
Ricardo Arguelles Individual Corporate Director Jun 19, 2014
Juan Alderete Individual Corporate Director May 28, 2015

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080825000381 TX Part a Provider - Federally Qualified Health Center (FQHC) 7315937448 Practice locations: San Elizario, TX

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Familia (8 organizations share this tax ID)
Part of
Centro de Salud Familia

Locations

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

NPPES NPI Registry

Primary practice location

12101 Socorro Rd.
San Elizario, TX 79849

Mailing address

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

Other practice location 1

700 S Ochoa St
El Paso, TX 79901-2936
Phone (915) 545-4550

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
136357405MedicaidTX
136357414MedicaidTX

Electronic endpoints 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2024.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1801920632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E. YANDELL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-534-7979",
            "fax_number": "915-534-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 SOCORRO RD.",
            "city": "SAN ELIZARIO",
            "state": "TX",
            "postal_code": "79849",
            "telephone_number": "915-851-5519",
            "fax_number": "915-851-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Ochoa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799012936",
            "country_code": "US",
            "telephone_number": "915-545-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO DE SALUD FAMILIAR LA FE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SALUD FAMILIAR LA FE, INC.",
        "enumeration_date": "2007-03-15",
        "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
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 San Elizario, TX

Sources for this page

Verify at the official NPI Registry.