NPI | 1902208234 |
---|---|
Other Name | EL CENTRO FAMILY HEALTH RHS SBHC |
Entity Type | Organization |
Authorized Contact | LORE PEASE CEO 505-753-7218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NM 3393) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2023-06-07 |