OrganizationActive
El Centro Family Health
NPI 1164782462 · Federally Qualified Health Center (FQHC) · Penasco, NM
Provider details
- NPI number
- 1164782462
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lore Pease, Ceo(505) 753-7218
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15136 St. Rd.
Penasco, NM 87553-0000
Phone: (575) 587-2809
Fax: (575) 587-2605
Approximate (ZIP-level) locationGet directions
Mailing address
538 N Paseo De Onate
Espanola, NM 87532-2618
Other names (DBA / former)
- Other name
- El Centro Family Health Penasco Dental Clinic
- Other name
- El Centro Family Health Penasco Dental Clinic
Registry dates
- Enumerated
- 2012-05-21
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.