| La Casa Family Health Center-los Ninos Pediatrics | |
|
200 W Wilshire Blvd Suite A Roswell NM 88201-0627 | |
| (575) 623-3255 | |
| Not Available |
| Full Name | La Casa Family Health Center-los Ninos Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 W Wilshire Blvd, Roswell, New Mexico |
| Authorized Official Name and Position | Seferino M Montano (CEO) |
| Authorized Official Contact | 5753566695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Family Health Center-los Ninos Pediatrics 200 W Wilshire Blvd Suite A Roswell NM 88201-0627 Ph: (575) 623-3255 | La Casa Family Health Center-los Ninos Pediatrics 200 W Wilshire Blvd Suite A Roswell NM 88201-0627 Ph: (575) 623-3255 |
| NPI Number | 1265721427 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 03/28/2011 |
| Medicare PECOS PAC ID | 9234032939 |
|---|---|
| Medicare Enrollment ID | O20110526000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265721427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | PENDING (New Mexico) | Primary |
| Provider Name | Carolyn Vavrecan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174953947 PECOS PAC ID: 3870719636 Enrollment ID: I20170518002535 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Roswell Osteopathic Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W. Hobbs St., Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |