El Centro Family Health Roy Clinic

LBN: El Centro Family Health
El Centro Family Health Roy Clinic is an health care organization with primary practice located at 555 Wagon Mound Highway , Roy NM 87743-0148. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. El Centro Family Health can be contacted via phone (575) 485-2484, or through Pease, Lore via phone (505) 753-7218.

Contact Information

Primary practice address
555 Wagon Mound Highway Roy NM 87743-0148
Phone: (575) 485-2484
Fax: (575) 485-2261
Website:
Map and Directions
Authorized official contact:
Name: Pease, Lore
Phone: (505) 753-7218

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6103 New Mexico

Profile Details

NPI number 1275798969
LBN Legal business name El Centro Family Health
DBA Doing business as El Centro Family Health Roy Clinic
Authorized official Pease, Lore
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2008
Last updated Nov 21st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275798969 NPPES
New Mexico Other 1780689034 ORGANIZATION NPPES
New Mexico MEDICAID 45542 ORGANIZATION NPPES

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