NPIMap

Organization Active NPI

La Casa de Buena Salud Inc

Doing business as La Casa School Based Medical/Dental Center-Roswell High

  • Local Education Agency (LEA)
  • Portales, NM
National Provider Identifier
1588048524
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LA CASA DE BUENA SALUD INC
Doing business as
La Casa School Based Medical/Dental Center-Roswell High
Practice address
1515 W Fir St
Portales, NM 88130-5703
Phone
(575) 356-6695
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Seferino M Montano
Title
Ceo
Phone
(575) 356-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1515 W Fir St
Portales, NM 88130-5703

Mailing address

500 W Hobbs St
Roswell, NM 88203-1834
Phone (575) 627-2808

Other names 1

  • La Casa School Based Medical/Dental Center-Roswell High Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Casa de Buena Salud Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

500 W Hobbs St
Roswell, NM 88203
Phone (505) 637-3200

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1588048524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W HOBBS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882031834",
            "telephone_number": "575-627-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W FIR ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881305703",
            "telephone_number": "575-356-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CASA DE BUENA SALUD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "SEFERINO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-356-6695"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa School Based Medical/Dental Center-Roswell High",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.