NPIMap

Organization Active NPI

Southwest Wellness

Doing business as La Clinica

  • Primary Care Clinic/Center
  • Silver City, NM
National Provider Identifier
1295158954
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CNP01356 Issued in NM
Legal business name
SOUTHWEST WELLNESS
Doing business as
La Clinica
Practice address
3201 N Ridge Loop Dr
Silver City, NM 88061-7243
Phone
(575) 388-4251
Fax
(575) 388-4514
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shauna Michelle McCosh, CNP, CNMNPI 1376718627
Title
Owner
Phone
(575) 388-4251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 588 NM
Primary Care Clinic/Center 261QP2300X CNP01356 NM Primary

Addresses

Primary practice location

3201 N Ridge Loop Dr
Silver City, NM 88061-7243

Mailing address

3201 N Ridge Loop Dr
Silver City, NM 88061-7243
Phone (575) 388-4251

Other identifiers 1

IdentifierTypeStateIssuer
000S6635MedicaidNM

Other names 1

  • La Clinica Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1295158954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N RIDGE LOOP DR",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617243",
            "telephone_number": "575-388-4251",
            "fax_number": "575-388-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N RIDGE LOOP DR",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617243",
            "telephone_number": "575-388-4251",
            "fax_number": "575-388-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MCCOSH",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-388-4251",
        "authorized_official_credential": "CNP, CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NM",
            "license": "588",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "CNP01356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000S6635",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.