LA CASA FAMILY HEALTH CENTER (NPI# 1528259124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528259124 |
| Entity Type | Organization |
| Organization Name | LA CASA FAMILY HEALTH CENTER |
| Practice Address |
1521 W 13th St Clovis NM 88101-5568 |
| Practice Telephone | 5057690227 |
| Practice Fax Number | 5057639154 |
| Mailing Telephone | 5057690227 |
| Mailing Fax Number | 5057639154 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | MRS. MELISSA C. RAINS (DIRECTOR OF PHARMACY SERVICES) |
| Authorized Official Telephone | 5057690888 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH00001877 | NM | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LA CASA FAMILY HEALTH CENTERS | 1515 W Fir Portales, Portales, NM 88130 |
| Street Address |
1521 W 13TH ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508966367 | Sherri Lyn Mccarty | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2006-09-22 |
| 1487109559 | Cortnee Lynn Krallman | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2016-08-18 |
| 1669801858 | Kristen Jeffcoat-knauer | Family Medicine | 1521 W 13th St, Clovis, NM 88101-5568 | 2013-11-07 |
| 1437403813 | Basil A Anaele | Pediatrics | 1521 W 13th St, Clovis, NM 88101-5568 | 2012-11-06 |
| 1619223500 | Tulasi S Gajula | Dentist | 1521 W 13th St, Clovis, NM 88101-5568 | 2012-07-28 |
| 1205126364 | Christine Martinez-guajardo | Social Worker | 1521 W 13th St, Clovis, NM 88101-5568 | 2011-04-11 |
| 1215193792 | Adam Strong Bunker | Dentist | 1521 W 13th St, Clovis, NM 88101-5568 | 2008-08-04 |
| 1063674398 | Margaret Hemm | Nurse Practitioner | 1521 W 13th St, Clovis, NM 88101-5568 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276160 | Corrales Pharmacy Inc | Pharmacy | 221 State Highway 165 # A4, A4, Placitas, NM 87043-9514 | 2020-02-10 |
| 1407343445 | St. Luke's Health Care Clinic | Pharmacy | 999 W. Amador Ave., Las Cruces, NM 88004-2243 | 2018-04-16 |
| 1295080745 | Pms Dba Cuba Health Center Pharmacy | Pharmacy | 6349 State Hwy. 550, Cuba, NM 87013 | 2012-07-20 |
| 1831212281 | Pueblo Pintado Health Center | Pharmacy | Hwy 371 Route 9, Crownpoint, NM 87313-0358 | 2007-04-09 |
| 1881727873 | Acoma Canoncito Laguna Ihs Pharmacy | Pharmacy | 1 40 Exit 203 Acomita, San Fidel, NM 87049 | 2007-03-13 |
| 1124638077 | Pharmascript Inc | Pharmacy | 6501 Americas Pkwy Ne Ste 121, Albuquerque, NM 87110-9813 | 2020-08-05 |
| 1821580416 | Acp Pharmacy LLC | Pharmacy | 1003 10th St, Alamogordo, NM 88310-6425 | 2018-05-31 |
| 1174935928 | Albuquerque Health Care for The Homeless, Inc. | Pharmacy | 1217 1st St Nw, Albuquerque, NM 87102-1529 | 2014-05-28 |
| 1144592866 | Presbyterian Healthcare Services | Pharmacy | 2400 Unser Blvd Se, Rio Rancho, NM 87124-3392 | 2012-01-27 |
| 1982849030 | University of New Mexico Hospital | Pharmacy | 8200 Central Ave Se, Suite 106, Albuquerque, NM 87108-2408 | 2008-12-03 |
| Find all providers with the same taxonomy | ||||
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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.