Organization · Type 2 NPI
La Casa de Buena Salud Inc
Federally Qualified Health Center (FQHC) · Clovis, NM
NPI number
1679879043
Active
Practice location
500 W 14th St
Clovis, NM 88101-5679
Fax (575) 356-5948
Mailing address
PO Box 843
Portales, NM 88130-0843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1679879043
La Casa de Buena Salud Inc's National Provider Identifier is 1679879043, issued on Feb 2, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clovis, NM. The record was last updated on Feb 2, 2011.