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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 70275 | 05 |
Other Name | Type Code |
---|---|
La Casa Family Health Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
75 University Blvd, Ste 130, Roswell, NM 88203 | 5756247207 |
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 |
Street Address |
1511 SOUTH GRAND AVENUE |
City | ROSWELL |
State | NM |
Zip Code | 88201 |
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 |
Find all providers in zip 88201 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
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1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
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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.