La Casa De Buena Salud INC
NPI #1518067669 in Clovis, New Mexico
Provider Information
- NPI Number
- 1518067669
- Entity Type
- Organization
- Organization Name
- La Casa De Buena Salud INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LA CASA DE BUENA SALUD INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Mar 12, 2008
Practice Location
- Address
- 1521 WEST 13TH STREET
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (505) 769-0888
Authorized Official
- Name
- SEFERINO MONTANO
- Title
- CEO
- Phone
- (505) 356-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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