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EL CENTRO FAMILY HEALTH PSBHC
NPI 1912324724
Clinic/Center - Federally Qualified Health Center (FQHC) in Penasco, NM

Active since March 19, 2014
14190 STATE ROAD 75, PENASCO, NM 87553(575) 587-2623(575) 587-2317 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About El Centro Family Health Psbhc NPPES

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

EL CENTRO FAMILY HEALTH PSBHC (NPI 1912324724) is a healthcare organization registered as a federally qualified health center (fqhc) in Penasco, New Mexico and active in the NPI registry since March 2014. The organization lists Lore Pease, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912324724
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEL CENTRO FAMILY HEALTH
Location Address14190 STATE ROAD 75Penasco, NM 87553
Mailing Address538 N Paseo De Onate, P.o. Box 158Espanola, NM 87532-2618 · (505) 753-7218 · Fax (505) 753-5815
Phone(575) 587-2623
Fax(575) 587-2317
Organization SubpartNo
Authorized OfficialLore PeaseCeo · (505) 753-7218
Enumeration DateMarch 19, 2014
Last NPPES UpdateNovember 21, 2014
✔ NPI 1912324724 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
14190 STATE ROAD 75, Penasco, NM 87553
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Other Names 1

Other NameEl Centro Family Health Psbhc

Other Identifiers 2

Medicaid03025365NM
Other1780689034NM · 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 1912324724. It was assigned to this organization in the NPPES registry on March 19, 2014. The provider is also known as El Centro Family Health Psbhc.

Where is El Centro Family Health located?

El Centro Family Health is located at 14190 State Road 75, Penasco, NM 87553. The listed phone number is (575) 587-2623.

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.