LA CASA DE BUENA SALUD INC


Address: 121 N Main St, Melrose, NM 88124
Phone: 5752534212

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

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

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
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

Office Location

Street Address 121 N MAIN ST
City MELROSE
State NM
Zip Code 88124

Providers in the same zip code

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

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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
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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...

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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
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Competitor

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City MELROSE
Zip Code 88124

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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