EL CENTRO FAMILY HEALTH WAGON MOUND CLINIC
NPI 1538324223
Clinic/Center - Federally Qualified Health Center (FQHC) in Wagon Mound, NM

NPI Status: Active since July 23, 2008

Contact Information

604 CATRON AVENUE
WAGON MOUND, NM
ZIP 87752
Phone: (575) 666-2288
Fax: (575) 666-2186

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About EL CENTRO FAMILY HEALTH WAGON MOUND CLINIC

This page provides the complete NPI Profile along with additional information for El Centro Family Health Wagon Mound Clinic, a primary care provider established in Wagon Mound, New Mexico operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1538324223 assigned on July 2008. The practitioner's primary taxonomy code is 261QF0400X with license number 47670 (NM). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is El Centro Family Health Wagon Mound Clinic. The authorized official of this NPI record is Mrs. Lore C. Pease (Ceo)

NPI
1538324223
Provider Legal Name
EL CENTRO FAMILY HEALTH
Other Organization Name
EL CENTRO FAMILY HEALTH WAGON MOUND CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
604 CATRON AVENUE WAGON MOUND, NM 87752
Location Phone
(575) 666-2288
Location Fax
(575) 666-2186
Mailing Address
538 N PASEO DE ONATE P.O. BOX 158 ESPANOLA, NM 87532
Mailing Phone
(505) 753-7218
Mailing Fax
(575) 666-2186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2008
Last Update Date
11-21-2014
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A primary care provider (PCP) like El Centro Family Health Wagon Mound Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
47670
License State
NM

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LORE C. PEASE

Authorized Official Title
CEO
Authorized Official Phone
(505) 753-7218

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
321832MEDICARE PIN (08)NM 
47670MEDICAID (05)NM 
1780689034OTHER (01)NMORGANIZATION NPPES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538324223
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256862824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 6 + 2 + 8 + 2 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1538324223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538324223, enumerated in the NPI registry as an "organization" on July 23, 2008

The provider is located at 604 Catron Avenue Wagon Mound, Nm 87752 and the phone number is (575) 666-2288

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 23, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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