institution
La Casa De Buena Salud Inc
Federally Qualified Health Center (FQHC) in Roswell, New Mexico
NPI 1215037379

La Casa De Buena Salud Inc is a Federally Qualified Health Center (FQHC) based in Portales, NM and is specialized in Federally Qualified Health Center (FQHC). La Casa De Buena Salud Inc practices in Roswell, NM. The NPI Number for La Casa De Buena Salud Inc is 1215037379 and holds a License No. 6460 (New Mexico).

The current practice location address for La Casa De Buena Salud Inc is 1511 South Grand Avenue, Roswell, NM and can be reached out via phone at 505-623-3255 and via fax at 505-625-9901.

Location: 1511 South Grand Avenue, Roswell, NM, 88130
institution
Provider Profile Details
NPI Number
1215037379
Provider Name
La Casa De Buena Salud Inc
Credential
Provider Entity Type
Organization
Address
1511 South Grand Avenue, Roswell, NM, 88130
Phone Number
505-623-3255
Fax Number
505-625-9901
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70275 05 NM
institution
Provider Business Practice Location Address Details
Address
1511 South Grand Avenue
City
State
Zip
88201
Phone Number
505-623-3255
Fax Number
505-625-9901
person
Provider Business Mailing Address Details
Address
1511 South Grand Avenue
City
State
Zip
88201
Phone Number
505-623-3255
Fax Number
505-625-9901
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6460 (New Mexico)
Definition
Definition to come...
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