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 1730485244. The provider is registered as an organization entity type.
The provider Is Doing Business As La Casa Dental School Clinic.
The provider's business location address is:
400 LOCKWOOD DRIVE
CLOVIS, NM
ZIP 88101-445
Phone: (575) 769-5021
Fax: (575) 763-9154
The provider's authorized official is Seferino Montano .
The authorized official title is Ceo and has the following contact phone number (575) 356-6695.
The CLIA number assigned to this NPI record is 32D0537352 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/31/2011 and was last updated on 1/31/2011.