EL CENTRO FAMILY HEALTH PENASCO CLINIC
NPI 1790940716
Clinic/Center - Federally Qualified Health Center (FQHC) in Penasco, NM

Active since July 21, 2008
STATE ROAD 75 #15136, PENASCO, NM 87553(575) 587-2205(575) 587-1944 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About El Centro Family Health Penasco Clinic NPPES

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

EL CENTRO FAMILY HEALTH PENASCO CLINIC (NPI 1790940716) is a healthcare organization registered as a federally qualified health center (fqhc) in Penasco, New Mexico and active in the NPI registry since July 2008. The organization lists Lore Pease, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790940716
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEL CENTRO FAMILY HEALTH
Location AddressSTATE ROAD 75 #15136Penasco, NM 87553-2627
Mailing Address538 N Paseo De Onate, P.o. Box 158Espanola, NM 87532-2618 · (505) 753-7218 · Fax (505) 753-5815
Fax(575) 587-1944
Organization SubpartNo
Authorized OfficialLore PeaseCeo · (505) 753-7218
Enumeration DateJuly 21, 2008
Last NPPES UpdateMay 4, 2015
NPI 1790940716 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 · 6102
STATE ROAD 75 #15136, Penasco, NM 87553

Other Names 1

Other NameEl Centro Family Health Penasco Clinic

Other Identifiers 3

Medicaid47092NM
Other1780689034NM · Organization Nppes
Medicare PIN321831NM

Accepted Insurance

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 1790940716. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is also known as El Centro Family Health Penasco Clinic.

Where is El Centro Family Health located?

El Centro Family Health is located at State Road 75 #15136, Penasco, NM 87553. The listed phone number is (575) 587-2205.

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.

What insurance does El Centro Family Health accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list El Centro Family Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for El Centro Family Health was last updated on May 4, 2015. 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.