Organization · Type 2 NPI

La Casa de Buena Salud Inc

Federally Qualified Health Center (FQHC) · Roswell, NM

NPI number 1215037379 Active

Practice location

1511 South Grand Avenue
Roswell, NM 88201

Call (505) 623-3255 Map

Fax (505) 625-9901

Mailing address

PO Box 843
Portales, NM 88130

Other practice locations

75 University Blvd, Ste 130, Roswell, NM 88203 · (575) 624-7207

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC)	261QF0400X	6460 (NM)
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Roswell

La Casa de Buena Salud IncFederally Qualified Health Center (FQHC) Roswell, NM NPI 1265721427

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NPI record

NPI: 1215037379
Entity type: Organization (Type 2)
Issued: Sep 25, 2006
Last updated: Feb 12, 2020
Status: Active
Subpart: Yes of La Casa de Buena Salud Inc

Other names

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La Casa Family Health Center · doing business as
La Casa Family Health Center · doing business as

Authorized official

Seferino M Montano
CEO
(505) 356-6695

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215037379

La Casa de Buena Salud Inc's National Provider Identifier is 1215037379, issued on Sep 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Roswell, NM. The record was last updated on Feb 12, 2020.