LA CASA DE BUENA SALUD INC NPI 1518067669

NPI Information

LA CASA DE BUENA SALUD INC is a federally qualified health center (fqhc) clinic center in Clovis, NM. LA CASA DE BUENA SALUD INC NPI is 1518067669. The provider is registered as an organization entity type.
The provider Is Doing Business As La Casa Family Health Center.

The provider's business location address is:

1521 WEST 13TH STREET
CLOVIS, NM
ZIP 88101
Phone: (505) 769-0888
Fax: (505) 763-9154

The provider's authorized official is Seferino Montano .
The authorized official title is Ceo and has the following contact phone number (505) 356-6695.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/12/2008.

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:

Other Identifiers

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