Organization · Type 2 NPI
La Casa de Buena Salud Inc
Federally Qualified Health Center (FQHC) · Clovis, NM
NPI number
1730485244
Active
Practice location
400 Lockwood Drive
Clovis, NM 88101-8445
Fax (575) 763-9154
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 1730485244
La Casa de Buena Salud Inc's National Provider Identifier is 1730485244, issued on Jan 31, 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 Jan 31, 2011.