EL CENTRO FAMILY HEALTH (NPI# 1457798712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457798712 |
| Entity Type | Organization |
| Organization Name | EL CENTRO FAMILY HEALTH |
| Other Organization Name | EL CENTRO FAMILY HEALTH CVMHS SBHC |
| Practice Address |
1260 Industrial Park Rd Espanola NM 87532-3503 |
| Mailing Address |
538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 |
| Practice Telephone | 5057531348 |
| Practice Fax Number | 5057477332 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2014-11-21 |
| 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) |
NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 215159844 | 05 | |
| NM | NPPES | 1780689034 | 01 |
| Other Name | Type Code |
|---|---|
| El Centro Family Health CVMHS SBHC | 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 |
| 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 |
| 1760647457 | El Centro Family Health | Clinic/Center | 275 Nm 3, Ribera, NM 87560-0277 | 2008-07-23 |
| 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 |
1260 INDUSTRIAL PARK RD |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033623731 | Ruby Jean Trujillo | Registered Nurse | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2017-11-17 |
| 1134632003 | Rebecca Anne Romero | Registered Nurse | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2017-11-14 |
| 1366955379 | Victoria Baros | Registered Nurse | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2017-11-13 |
| 1124531298 | Angelic Martinez | Psychologist | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2017-11-13 |
| 1710432547 | Kristine Rutledge | Occupational Therapy Assistant | 1260 Industrial Park Rd, Espanola, NM 87532-3503 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821373812 | El Centro Family Health | Clinic/Center | 711 Bond St., Espanola, NM 87532-2729 | 2011-10-21 |
| 1780689034 | El Centro Family Health | Clinic/Center | 538 N Paseo De Onate, Espanola, NM 87532-2618 | 2005-06-14 |
| 1437575289 | El Centro Family Health | Clinic/Center | 1111 El Llano Rd, Espanola, NM 87532-6727 | 2014-03-17 |
| 1306175922 | Presbyterian Medical Services | Clinic/Center | 835 Spruce St, C & D, Espanola, NM 87532-3455 | 2009-12-10 |
| 1285899054 | El Centro Family Health | Clinic/Center | 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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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.