La Casa De Buena Salud INC
NPI #1790072478 in Melrose, New Mexico
Provider Information
- NPI Number
- 1790072478
- Entity Type
- Organization
- Organization Name
- La Casa De Buena Salud INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 1, 2011
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 121 N MAIN ST
- City
- Melrose
- State
- New Mexico
- ZIP Code
- 88124
- Phone
- (575) 253-4212
Authorized Official
- Name
- SEFERINO M MONTANO
- Title
- CEO
- Phone
- (575) 356-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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