EL CENTRO FAMILY HEALTH (NPI# 1912127630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912127630 |
| Entity Type | Organization |
| Organization Name | EL CENTRO FAMILY HEALTH |
| Other Organization Name | EL CENTRO FAMILY HEALTH NMHU HIGHLANDS CLINIC |
| Practice Address |
901 Baca Las Vegas NM 87701-2627 |
| Mailing Address |
Po Box 158 538 N Paseo De Onate Espanola NM 87532-2618 |
| Practice Telephone | 5054543218 |
| Practice Fax Number | 5054262219 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | MRS. LORE PEASE (CEO) |
| Authorized Official Telephone | 5057537218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6205 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | ORGANIZATION NPPES | 1780689034 | 01 |
| NM | 321930 | 05 |
| Other Name | Type Code |
|---|---|
| El Centro Family Health NMHU Highlands Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1902208234 | El Centro Family Health | Clinic/Center | 1236 5th St, Las Vegas, NM 87701-4337 | 2014-09-18 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1912324724 | El Centro Family Health | Clinic/Center | 14190 State Road 75, Penasco, NM 87553 | 2014-03-19 |
| 1457798712 | El Centro Family Health | Clinic/Center | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2013-05-28 |
| 1164782462 | El Centro Family Health | Clinic/Center | 15136 St. Rd., Penasco, NM 87553-0000 | 2012-05-21 |
| 1821373812 | El Centro Family Health | Clinic/Center | 711 Bond St., Espanola, NM 87532-2729 | 2011-10-21 |
| 1013202969 | El Centro Family Health | Nurse Practitioner | 620 N. Coronado Street, Espanola, NM 87532-0158 | 2011-06-17 |
| 1467617837 | El Centro Family Health | Clinic/Center | County Road 75 House #60, Truchas, NM 87578-0346 | 2008-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EL CENTRO FAMILY HEALTH | 538 N Paseo De Onate, Espanola, NM 87532-2618 |
| Street Address |
901 BACA |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1356806061 | Silver State Health Services | Clinic/Center | 2215c Renaissance Dr, Las Vegas, NV 89119-6729 | 2019-02-06 |
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| 1417075375 | Nevada Health Centers Inc | Clinic/Center | 403 W Wilson, Las Vegas, NV 89106 | 2007-03-27 |
| 1447378310 | Nevada Health Centers Inc | Clinic/Center | 2800 Stewart Ave, Las Vegas, NV 89101-4722 | 2007-03-27 |
| 1962520239 | Nevada Health Centers Inc | Clinic/Center | 2839 Burnham Ave, Las Vegas, NV 89169-1793 | 2007-03-26 |
| 1730113465 | Nevada Health Centers Inc | Clinic/Center | 310 9th St, Ste 110, Las Vegas, NV 89101 | 2006-07-10 |
| 1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
| 1932745668 | Southern Nevada Health District | Clinic/Center | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-11-18 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.