EL CENTRO FAMILY HEALTH (NPI# 1669930392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669930392 |
| Entity Type | Organization |
| Organization Name | EL CENTRO FAMILY HEALTH |
| Practice Address |
1401 8th Street Springer NM 87747 |
| Mailing Address |
Po Box 158 Espanola NM 87532-0158 |
| Practice Telephone | 5057537218 |
| Practice Fax Number | 5057475946 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057477396 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | JEROME TYWAN WILLIAMS (COO) |
| Authorized Official Telephone | 5057475939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Springer SBHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1401 8TH STREET |
| City | SPRINGER |
| State | NM |
| Zip Code | 87747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
| 1790225795 | Mesa Group LLC | Durable Medical Equipment & Medical Supplies | 308 Colbert Ave, Springer, NM 87747 | 2017-02-24 |
| 1831637636 | Bestcare Pharmacy Springer LLC | Pharmacy | 307 Maxwell Ave, #b, Springer, NM 87747 | 2017-02-01 |
| 1629233317 | El Centro Family Health | Clinic/Center | 502 4th Street, Springer, NM 87747 | 2008-07-23 |
| 1043393077 | Tony Pesavento | Pharmacy | 825 4th Street, Springer, NM 87747 | 2006-10-23 |
| 1215941380 | Patricia Anne Whitman | Nurse Practitioner | 200 Cimarron, Springer, NM 87747 | 2006-07-27 |
| 1447216619 | Jo Anne Jackson | Speech-Language Pathologist | 1401 8th St., Springer, NM 87747 | 2006-04-25 |
| 1508842758 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1588890909 | South Central Colfax County Special Hospital District | Clinical Medical Laboratory | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| Find all providers in zip 87747 | ||||
| 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 |
|---|---|---|---|---|
| 1629233317 | El Centro Family Health | Clinic/Center | 502 4th Street, Springer, NM 87747 | 2008-07-23 |
| 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 |
| 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 |
| 1487026563 | Ben Archer Health Center | Clinic/Center | 3331 Del Rey Blvd., Las Cruces, NM 88012 | 2015-10-28 |
| 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.