Provider Demographics
NPI:1801920632
Name:CENTRO DE SALUD FAMILIAR LA FE, INC.
Entity type:Organization
Organization Name:CENTRO DE SALUD FAMILIAR LA FE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-534-7979
Mailing Address - Street 1:1314 E. YANDELL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902
Mailing Address - Country:US
Mailing Address - Phone:915-534-7979
Mailing Address - Fax:915-534-7601
Practice Address - Street 1:12101 SOCORRO RD.
Practice Address - Street 2:
Practice Address - City:SAN ELIZARIO
Practice Address - State:TX
Practice Address - Zip Code:79849
Practice Address - Country:US
Practice Address - Phone:915-851-5519
Practice Address - Fax:915-851-0558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRO DE SALUD FAMILIAR LA FE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-15
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136357405Medicaid
TX136357414Medicaid
TX451899Medicare Oscar/Certification