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General NPI Number Information
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NPI Number | 1285768564
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Entity Type | Organization
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Legal Business Name | CENTRO DE SALUD FAMILIAR LA FE, INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 200 LISBON ST
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City | EL PASO
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State | TX
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Zip | 79905-5123
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Country | US
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Telephone | 915-778-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 E. YANDELL
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City | EL PASO
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State | TX
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Zip | 79902
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Country | US
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Telephone | 915-534-7979
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Fax | 915-534-7601
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Authorized Official
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Title or Position | CFO
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Name | LUCY RODARTE
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Credential |
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Telephone | 915-534-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | TX
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