OrganizationActive
El Centro Family Health
NPI 1790940716 · Federally Qualified Health Center (FQHC) · Penasco, NM
Provider details
- NPI number
- 1790940716
- 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
- License
- 6102 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
State Road 75 #15136
Penasco, NM 87553-2627
Phone: (575) 587-2205
Fax: (575) 587-1944
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 Clinic
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2015-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.