NPIMap

Organization Active NPI

La Casa de Buena Salud Inc

  • Federally Qualified Health Center (FQHC)
  • Clovis, NM
National Provider Identifier
1730485244
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LA CASA DE BUENA SALUD INC
Practice address
400 Lockwood Drive
Clovis, NM 88101-8445
Phone
(575) 769-5021
Fax
(575) 763-9154
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

400 Lockwood Drive
Clovis, NM 88101-8445

Mailing address

PO Box 843
Portales, NM 88130-0843
Phone (575) 356-6695

Other names 1

  • La Casa Dental School Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Casa de Buena Salud Inc15 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

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1730485244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300843",
            "telephone_number": "575-356-6695",
            "fax_number": "575-356-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCKWOOD DRIVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881018445",
            "telephone_number": "575-769-5021",
            "fax_number": "575-763-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CASA DE BUENA SALUD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "SEFERINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-356-6695"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Casa Dental School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.