EL CENTRO FAMILY HEALTH (NPI# 1932407681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932407681 |
Entity Type | Organization |
Organization Name | EL CENTRO FAMILY HEALTH |
Other Organization Name | EL CENTRO FAMILY HEALTH TAOS CLINIC |
Practice Address |
1331 Gusdorf Rd Taos NM 87571-6282 |
Mailing Address |
538 N Paseo De Onate P.o. Box 158 Espanola NM 87532-2618 |
Practice Telephone | 5757583601 |
Practice Fax Number | 5757581058 |
Mailing Telephone | 5057537218 |
Mailing Fax Number | 5057535815 |
Enumeration Date | 2011-03-04 |
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) |
3385 | NM | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 95534377 | 05 | |
NM | ORGANIZATION NPPES | 1780689034 | 01 |
Other Name | Type Code |
---|---|
El Centro Family Health Taos 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 |
1331 GUSDORF RD |
City | TAOS |
State | NM |
Zip Code | 87571-6282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689667040 | Alfredo R. Vigil | Family Medicine | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2005-08-31 |
1245700152 | Paula A. Solfest | Counselor | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2018-12-04 |
1679071757 | Jose Albert Valdez | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2018-01-24 |
1326491416 | Monica Bierge Casas | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2016-07-13 |
1790163244 | Ruthie A Guzman | Nurse Practitioner | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2015-05-15 |
1841686656 | Sandra W Whitney | Nurse Practitioner | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2015-04-08 |
1457605727 | Mary R Mclellan | Social Worker | 1331 Gusdorf Rd, El Centro Familly Health-taos Clinic, Taos, NM 87571-6282 | 2012-11-07 |
1366711889 | Amanda Gallegos | Counselor | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2011-12-29 |
1063790566 | Erick A Struck | Social Worker | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2011-08-01 |
1679631733 | Leigh Anne Trivino | Physician Assistant | 1331 Gusdorf Rd, El Centro Family Health Taos Clinic, Taos, NM 87571-6282 | 2006-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
Find all providers in zip 87571 |
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 |
---|---|---|---|---|
1134497431 | El Centro Family Health | Clinic/Center | 134 Cervantes St, Taos, NM 87571-6163 | 2011-12-01 |
1003183393 | El Centro Family Health | Clinic/Center | 235 Paseo Del Canon E, Taos, NM 87571-6239 | 2011-11-30 |
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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 |
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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.