SOUTHWEST WELLNESS NPI 1295158954

NPI Information

NPI: 1295158954
Provider Name: SOUTHWEST WELLNESS
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: LA CLINICA
CLIA Number: 32D2087003
Address: 3201 N RIDGE LOOP DR
SILVER CITY, NM
ZIP 88061
Phone: (575) 388-4251

Map and Directions

Get Directions

NPI Details

SOUTHWEST WELLNESS is a primary care clinic center in Silver City, NM. SOUTHWEST WELLNESS NPI is 1295158954. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica.

The provider's business location address is:

3201 N RIDGE LOOP DR
SILVER CITY, NM
ZIP 88061-243
Phone: (575) 388-4251
Fax: (575) 388-4514

The provider's authorized official is Shauna Michelle Mccosh .
The authorized official title is Owner and has the following contact phone number (575) 388-4251.

The CLIA number assigned to this NPI record is 32D2087003 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2014 and was last updated on 1/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QB0400X	Clinic/Center	Birthing	588	NEW MEXICO	No
2	261QP2300X	Clinic/Center	Primary Care	CNP01356	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM300551	MEDICARE PIN	NEW MEXICO
2	000S6635	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI