EL CENTRO FAMILY HEALTH WAGON MOUND CLINIC
NPI 1538324223
Clinic/Center - Federally Qualified Health Center (FQHC) in Wagon Mound, NM

Q: What is El Centro Family Health's NPI number?

The NPI number for El Centro Family Health is 1538324223. It was assigned to this organization in the NPPES registry on July 23, 2008. The provider is also known as El Centro Family Health Wagon Mound Clinic.

Q: What is El Centro Family Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since July 23, 2008

604 CATRON AVENUE, WAGON MOUND, NM 87752(575) 666-2288(575) 666-2186 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About El Centro Family Health Wagon Mound Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EL CENTRO FAMILY HEALTH WAGON MOUND CLINIC (NPI 1538324223) is a healthcare organization registered as a federally qualified health center (fqhc) in Wagon Mound, New Mexico and active in the NPI registry since July 2008. The organization lists Lore C. Pease, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538324223

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEL CENTRO FAMILY HEALTH

Location Address604 CATRON AVENUEWagon Mound, NM 87752-0063

Mailing Address538 N Paseo De Onate, P.o. Box 158Espanola, NM 87532-2618 · (505) 753-7218 · Fax (505) 753-5815

Phone(575) 666-2288

Fax(575) 666-2186

Organization SubpartNo

Authorized OfficialLore C. PeaseCeo · (505) 753-7218

Enumeration DateJuly 23, 2008

Last NPPES UpdateNovember 21, 2014

✔ NPI 1538324223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in NM · 47670

604 CATRON AVENUE, Wagon Mound, NM 87752

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Other Names 1

Other NameEl Centro Family Health Wagon Mound Clinic

Other Identifiers 3

Medicare PIN321832NM

Medicaid47670NM

Other1780689034NM · Organization Nppes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is El Centro Family Health's NPI number?

The NPI number for El Centro Family Health is 1538324223. It was assigned to this organization in the NPPES registry on July 23, 2008. The provider is also known as El Centro Family Health Wagon Mound Clinic.

Where is El Centro Family Health located?

El Centro Family Health is located at 604 Catron Avenue, Wagon Mound, NM 87752. The listed phone number is (575) 666-2288.

What is El Centro Family Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for El Centro Family Health was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.