Organization · Type 2 NPI
La Casa de Buena Salud Inc.
Federally Qualified Health Center (FQHC) · Portales, NM
NPI number
1972603165
Active
Practice location
1515 W Fir
Portales, NM 88130
Fax (505) 356-5948
Mailing address
PO Box 843
Portales, NM 88130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 6338 (NM) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1972603165
La Casa de Buena Salud Inc.'s National Provider Identifier is 1972603165, issued on Sep 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Portales, NM. The record was last updated on Jul 30, 2008.