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La Casa De Buena Salud Inc — NPI 1215037379, Roswell, NM | NPI Central

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NPI 1215037379

OrganizationActive

La Casa De Buena Salud Inc

NPI 1215037379 · Federally Qualified Health Center (FQHC) · Roswell, NM

Provider details

NPI number: 1215037379
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Parent organization: La Casa De Buena Salud Inc
Organization subpart: Yes
Authorized official: Seferino Montano, Ceo(505) 356-6695
License: 6460 (NM)

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities
Federally Qualified Health Center (FQHC)261QF0400XLicense 6460 (NM)
Ambulatory Health Care Facilities

Practice location

1511 South Grand Avenue

Roswell, NM 88201

Phone: (505) 623-3255

Fax: (505) 625-9901

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

Po Box 843

Portales, NM 88130

Other names (DBA / former)

Doing business as: La Casa Family Health Center
Doing business as: La Casa Family Health Center

Additional practice locations (1)

75 University Blvd
Ste 130
Roswell, NM 88203
Phone: (575) 624-7207

Registry dates

Enumerated: 2006-09-25
Last updated: 2020-02-12
Certified: 2020-02-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.