NPIMap

La Casa de Buena Salud Inc

A Medicare group practice based in Clovis, NM: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 9234032939), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234032939The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
6
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20110526000362 NM Part A Provider - Federally Qualified Health Center (FQHC) 1265721427
O20101110001413 NM Part A Provider - Federally Qualified Health Center (FQHC) 1518067669
O20081224000288 NM Part A Provider - Federally Qualified Health Center (FQHC) 1972603165
O20100924000253 NM Part A Provider - Federally Qualified Health Center (FQHC) 1215037379
O20040129001141 NM Part B Supplier - Clinic/Group Practice 1972603165
O20180906000487 NM Part A Provider - Federally Qualified Health Center (FQHC) 1760788137

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (2).

Sources for this page