Organization
LA CASA DE BUENA SALUD INC
Active
Other names
La Casa Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SEFERINO M MONTANO (CEO)
(575) 356-6695
Entity
Organization
Contact information
Practice address
121 N MAIN ST, MELROSE, NM 88124
(575) 253-4212
(575) 253-4214
Mailing address
121 MAIN ST, MELROSE, NM 88124-9680
(575) 253-4212
(575) 253-4214
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
03/01/2012
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