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La Casa De Buena Salud Inc
Federally Qualified Health Center (FQHC) in Clovis, New Mexico
NPI 1679879043

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 1679879043 and holds a License No. (New Mexico).

The current practice location address for La Casa De Buena Salud Inc is 500 W 14Th St, Clovis, NM and can be reached out via phone at 575-356-6695 and via fax at 575-356-5948.

Location: 500 W 14Th St, Clovis, NM, 88130-0843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679879043
Provider Name
La Casa De Buena Salud Inc
Credential
Provider Entity Type
Organization
Address
500 W 14Th St, Clovis, NM, 88130-0843
Phone Number
575-356-6695
Fax Number
575-356-5948
Provider Enumeration Date
02/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 W 14Th St
City
Clovis
State
New Mexico
Zip
88101-5679
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider Business Mailing Address Details
Address
500 W 14Th St
City
Clovis
State
New Mexico
Zip
88101-5679
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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