LA CASA DE BUENA SALUD INC (NPI# 1760788137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760788137 |
| Entity Type | Organization |
| Organization Name | LA CASA DE BUENA SALUD INC |
| Other Organization Name | LA CASA SCHOOL BASED CLINIC |
| Practice Address |
100 Commerce Way Clovis NM 88101-4768 |
| Mailing Address |
Po Box 843 Portales NM 88130-0843 |
| Practice Telephone | 5757694410 |
| Practice Fax Number | 5757639154 |
| Mailing Telephone | 5753566695 |
| Mailing Fax Number | 5753565948 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | SEFERINO MONTANO (CEO) |
| Authorized Official Telephone | 5753566695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| La Casa School Based Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1215037379 | La Casa De Buena Salud Inc | Clinic/Center | 1511 South Grand Avenue, Roswell, NM 88201 | 2006-09-25 |
| 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 |
100 COMMERCE WAY |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4768 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322119 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2497 Herndon Ave Ste 103, Clovis, CA 93611-8977 | 2020-07-03 |
| 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 |
| 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 |
| 1750703237 | Valley Health Team Inc | Clinic/Center | 180 W Shaw Ave, Suite B, Clovis, CA 93612 | 2014-01-17 |
| 1518067669 | La Casa De Buena Salud Inc | Clinic/Center | 1521 West 13th Street, Clovis, NM 88101 | 2006-09-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LA CASA DE BUENA SALUD INC.
| 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.