LA CASA DE BUENA SALUD INC (NPI# 1790072478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790072478 |
Entity Type | Organization |
Organization Name | LA CASA DE BUENA SALUD INC |
Other Organization Name | LA CASA FAMILY HEALTH CENTER |
Practice Address |
121 N Main St Melrose NM 88124 |
Mailing Address |
121 Main St Melrose NM 88124-9680 |
Practice Telephone | 5752534212 |
Practice Fax Number | 5752534214 |
Mailing Telephone | 5752534212 |
Mailing Fax Number | 5752534214 |
Enumeration Date | 2011-07-01 |
Last Update Date | 2012-03-01 |
Authorized Official Name | SEFERINO M 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 Family Health Center | 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 |
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 |
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 |
Street Address |
121 N MAIN ST |
City | MELROSE |
State | NM |
Zip Code | 88124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982219002 | Zanessa D. Kastler | Social Worker | 1462 Cran, Melrose, NM 88124 | 2020-09-15 |
1275689366 | Karla Annette Moore | Speech-Language Pathologist | 100 East Missouri, Melrose, NM 88124 | 2007-01-25 |
1376536854 | Edna Gail Gutierrez | Nurse Practitioner | 121 N. Main, Melrose, NM 88124 | 2005-08-30 |
1669688735 | Village of Melrose | Ambulance | 400 5th St, Melrose, NM 88124-0398 | 2007-05-15 |
1427375542 | Tammie Jean Jacobs | Occupational Therapy Assistant | 3624 Cr 12, Melrose, NM 88124-9400 | 2010-04-28 |
1154770618 | Roosevelt County Special Hospital District | Clinic/Center | 121 Main St, Melrose, NM 88124-9680 | 2016-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
1235736489 | Jillian M Boyle | Counselor | 500 Main St Apt 5, Melrose, MA 02176-3828 | 2020-10-01 |
1639785462 | Hair Loss Center of Boston LLC | Case Management | 123 Ashland St # 2, Melrose, MA 02176-1235 | 2020-09-17 |
1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
1316562341 | Jonathan Reza Alihosseini | Dentist | 820 Lynn Fells Pkwy, Melrose, MA 02176-2506 | 2020-06-16 |
1376179366 | Jessica W Cheung | Physical Therapist | 585 Lebanon St Ste 401, Melrose, MA 02176-3225 | 2020-03-21 |
1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
1033752514 | Molly Rose Camelo | Specialist/Technologist | 375 Swains Pond Ave, Melrose, MA 02176-5811 | 2019-10-28 |
1407403678 | Samantha Eileen Ruggiero | Psychologist | 66 E Wyoming Ave # 3, Melrose, MA 02176-4715 | 2019-08-22 |
Find all providers in MELROSE |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
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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 |
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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.