institution
La Casa De Buena Salud Inc.
Federally Qualified Health Center (FQHC) in Portales, New Mexico
NPI 1972603165

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 Portales, NM. The NPI Number for La Casa De Buena Salud Inc. is 1972603165 and holds a License No. 6338 (New Mexico).

The current practice location address for La Casa De Buena Salud Inc. is 1515 W Fir, Portales, NM and can be reached out via phone at 505-356-6695 and via fax at 505-356-5948.

Location: 1515 W Fir, Portales, NM, 88130
institution
Provider Profile Details
NPI Number
1972603165
Provider Name
La Casa De Buena Salud Inc.
Credential
Provider Entity Type
Organization
Address
1515 W Fir, Portales, NM, 88130
Phone Number
505-356-6695
Fax Number
505-356-5948
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48033 05 NM
institution
Provider Business Practice Location Address Details
Address
1515 W Fir
City
State
Zip
88130
Phone Number
505-356-6695
Fax Number
505-356-5948
person
Provider Business Mailing Address Details
Address
1515 W Fir
City
State
Zip
88130
Phone Number
505-356-6695
Fax Number
505-356-5948
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
6338 (New Mexico)
Definition
Definition to come...
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