La Casa De Buena Salud Inc in Clovis - Federally Qualified Health Center (fqhc)
La Casa De Buena Salud Inc - NPI 1518067669
La Casa De Buena Salud Inc is a Federally Qualified Health Center (fqhc) in Clovis, New Mexico. La Casa De Buena Salud Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Casa De Buena Salud Inc is 1518067669. The last update date is 2008-03-12.
La Casa De Buena Salud Inc's current location address is 1521 West 13th Street, Clovis, New Mexico. You can contact this provider via phone number 5057690888 and fax number 5057639154. The mailing address for La Casa De Buena Salud Inc is 1521 West 13th Street, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Casa De Buena Salud Inc |
|---|---|
| Address | 1521 West 13th Street, Clovis, New Mexico |
| Phone Number | 5057690888 |
| Fax Number | 5057639154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Montano Seferino |
| Telephone Number | 5053566695 |
NPI Number Detail
| NPI Number | 1518067669 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | 1521 West 13th Street |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 88101 |
| Phone Number | 5057690888 |
| Fax Number | 5057639154 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 6415 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46976 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to La Casa De Buena Salud Inc by the Centers for Medicare & Medicaid Services?
The La Casa De Buena Salud Inc has been issued the NPI (National Provider Identifier) 1518067669. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where La Casa De Buena Salud Inc is physically located?
The La Casa De Buena Salud Inc is situated at the following address: 1521 West 13Th Street, Clovis, NM 88101.
What is La Casa De Buena Salud Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The La Casa De Buena Salud Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the La Casa De Buena Salud Inc receive its 1518067669 assignment from the Centers for Medicare & Medicaid Services?
The La Casa De Buena Salud Inc was assigned its 1518067669 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the La Casa De Buena Salud Inc's information last updated?
The La Casa De Buena Salud Inc's information was last updated on 2008-03-12.