| La Casa De Buena Salud Inc | |
|
103 Don Pablo Lane Hondo NM 88336 | |
| (505) 653-4830 | |
| (505) 653-4833 |
| Full Name | La Casa De Buena Salud Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 103 Don Pablo Lane, Hondo, New Mexico |
| Authorized Official Name and Position | Seferino M Montano (CEO) |
| Authorized Official Contact | 5053566695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa De Buena Salud Inc 103 Don Pablo Lane Hondo NM 88336 Ph: (505) 653-4830 | La Casa De Buena Salud Inc 103 Don Pablo Lane Hondo NM 88336 Ph: (505) 653-4830 |
| NPI Number | 1205957487 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205957487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |