Organization
LA CASA DE BUENA SALUD INC
Active
Parent organization
LA CASA DE BUENA SALUD INC
Other names
La Casa Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CASA DE BUENA SALUD INC
Authorized official
SEFERINO M MONTANO (CEO)
(505) 356-6695
Entity
Organization
Contact information
Practice address
1511 SOUTH GRAND AVENUE, ROSWELL, NM 88201
(505) 623-3255
(505) 625-9901
Mailing address
PO BOX 843, PORTALES, NM 88130
(505) 356-6695
(505) 356-5948
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
6460
NM
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70275
—
NM
Enumeration date
09/25/2006
Last updated
02/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us