LA CASA DE BUENA SALUD INC


Address: 1511 South Grand Avenue, Roswell, NM 88201
Phone: 5056233255

LA CASA DE BUENA SALUD INC (NPI# 1215037379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215037379
Entity Type Organization
Organization Name LA CASA DE BUENA SALUD INC
Other Organization Name LA CASA FAMILY HEALTH CENTER
Practice Address 1511 South Grand Avenue
Roswell
NM 88201
Mailing Address Po Box 843
Portales
NM 88130
Practice Telephone 5056233255
Practice Fax Number 5056259901
Mailing Telephone 5053566695
Mailing Fax Number 5053565948
Enumeration Date 2006-09-25
Last Update Date 2020-02-12
Authorized Official Name SEFERINO M MONTANO (CEO)
Authorized Official Telephone 5053566695
Is Organization Subpart Y
Parent Organization Name LA CASA DE BUENA SALUD INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
6460 NM Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NM 70275 05

Other Provider/Organization Names

Other Name Type Code
La Casa Family Health Center Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
75 University Blvd, Ste 130, Roswell, NM 88203 5756247207

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588960959 La Casa De Buena Salud Inc Clinic/Center 1400 Cameo St, Clovis, NM 88101-5401 2011-02-02
1679879043 La Casa De Buena Salud Inc Clinic/Center 500 W 14th St, Clovis, NM 88101-5679 2011-02-02
1760788137 La Casa De Buena Salud Inc Clinic/Center 100 Commerce Way, Clovis, NM 88101-4768 2011-02-02
1710283155 La Casa De Buena Salud Inc Clinic/Center 1121 Maple Street, Clovis, NM 88130 2011-02-02
1720384167 La Casa De Buena Salud Inc Clinic/Center 400 South Davis Street, Clovis, NM 88101 2011-02-02
1730485244 La Casa De Buena Salud Inc Clinic/Center 400 Lockwood Drive, Clovis, NM 88101-8445 2011-01-31
1215311261 La Casa De Buena Salud Inc Local Education Agency (LEA) 701 E Country Club Rd, Roswell, NM 88201-7607 2015-07-18
1033593082 La Casa De Buena Salud Inc Local Education Agency (LEA) 1601 E Bland St, Roswell, NM 88203-7900 2015-07-18
1588048524 La Casa De Buena Salud Inc Local Education Agency (LEA) 1515 W Fir St, Portales, NM 88130-5703 2015-07-18
1538555040 La Casa De Buena Salud Inc Community/Behavioral Health 110 E Mescalero Rd, Roswell, NM 88201-6542 2015-04-10

Office Location

Street Address 1511 SOUTH GRAND AVENUE
City ROSWELL
State NM
Zip Code 88201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902310022 Corey A Carter Specialist/Technologist, Other 117 E 19th Street, Roswell, NM 88201 2017-11-28
1326598541 Dove Medical Corporation Family Medicine 110 East 3rd Street, Roswell, NM 88201 2016-10-12
1841748381 Anali Velez Registered Nurse 300 N Kentucky, Roswell, NM 88201 2016-09-13
1831647379 Rebecca Palomino Registered Nurse 800 Marion Richards Rd, Roswell, NM 88201 2016-09-13
1215300926 Heart Path Oriental Medicine Clinic/Center 810 N Union, Roswell, NM 88201 2015-11-03
1538564745 Lacey Scott Pharmacist 1835 N. Main, Roswell, NM 88201 2014-10-30
1962815852 Marium Khan Internal Medicine 400 Military Heights Place, Roswell, NM 88201 2014-06-09
1316288913 Anaya Counseling Community/Behavioral Health 613 W 2nd St Ste 4, Roswell, NM 88201 2013-03-06
1205185386 Rosarita Brady Occupational Therapist 300 N. Kentucky, Roswell, NM 88201 2012-09-05
1922360049 Ashley Spinhirne Thompson Speech-Language Pathologist 304 N. Richardson, Roswell, NM 88201 2012-06-14
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265721427 La Casa De Buena Salud Inc Clinic/Center 200 W Wilshire Blvd, Suite A, Roswell, NM 88201-0627 2011-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487265666 Hidalgo Medical Services Clinic/Center 105 1/2 N East St., Santa Clara, NM 88026 2020-08-12
1902436702 La Clinica De Familia, Incorporated Clinic/Center 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 2020-01-21
1114578671 La Clinica De Familia, Inc. Clinic/Center 100 Shrode Rd, Anthony, NM 88021-7350 2019-09-26
1083262422 Presbyterian Medical Services Clinic/Center 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 2019-08-29
1669930392 El Centro Family Health Clinic/Center 1401 8th Street, Springer, NM 87747 2019-03-12
1487119608 Presbyterian Medical Services Clinic/Center 1 Salomon Griego Road, Veguita, NM 87062 2019-02-01
1417440777 Las Clinicas Del Norte Incorporated Clinic/Center 1797b St. Rd 502, Santa Fe, NM 87506 2018-06-12
1467971986 Hidalgo Medical Services Clinic/Center 3200 32nd St Bypass, Silver City, NM 88061 2017-09-15
1417472192 Fnch Outpatient Services Clinic/Center 634 Manzano Street Ne, Albuquerque, NM 87110 2017-08-03
1689034662 La Clinica De Familia, Inc. Clinic/Center 6301 Nm Highway 28, Anthony, NM 88021 2016-03-03
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Competitor

Search similar providers

City ROSWELL
Zip Code 88201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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