institution
La Casa De Buena Salud Inc
Federally Qualified Health Center (FQHC) in Clovis, New Mexico
NPI 1518067669

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 Clovis, NM. The NPI Number for La Casa De Buena Salud Inc is 1518067669 and holds a License No. 6415 (New Mexico).

The current practice location address for La Casa De Buena Salud Inc is 1521 West 13Th Street, Clovis, NM and can be reached out via phone at 505-769-0888 and via fax at 505-763-9154. You can also correspond with La Casa De Buena Salud Inc through the mailing address at PO BOX 843, PORTALES, NM - 88130 (mailing address contact number: 505-356-6695).

Location: 1521 West 13Th Street, Clovis, NM, 88130
institution
Provider Profile Details
NPI Number
1518067669
Provider Name
La Casa De Buena Salud Inc
Credential
Provider Entity Type
Organization
Address
1521 West 13Th Street, Clovis, NM, 88130
Phone Number
505-769-0888
Fax Number
505-763-9154
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
46976 05 NM
institution
Provider Business Practice Location Address Details
Address
1521 West 13Th Street
City
State
Zip
88101
Phone Number
505-769-0888
Fax Number
505-763-9154
person
Provider Business Mailing Address Details
Address
1521 West 13Th Street
City
State
Zip
88101
Phone Number
505-769-0888
Fax Number
505-763-9154
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6415 (New Mexico)
Definition
Definition to come...
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