LA CASA SCHOOL DENTAL CLINIC – NPI #1710283155
Clinic/Center

LA CASA SCHOOL DENTAL CLINIC is an AHC clinic located in CLOVIS, NM. NPPES has assigned the NPI number 1710283155 to LA CASA SCHOOL DENTAL CLINIC on February 02, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LA CASA SCHOOL DENTAL CLINIC” is a dba name, the actual legal business name for this organization is LA CASA DE BUENA SALUD INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LA CASA SCHOOL DENTAL CLINIC below.

NPI Profile for
LA CASA DE BUENA SALUD INC

NPI Number
1710283155
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LA CASA DE BUENA SALUD INC
Doing Business As (dba): LA CASA SCHOOL DENTAL CLINIC
Primary location
1121 MAPLE STREET
CLOVIS, NM 88130
Phone: (575) 356-6695 Fax: (575) 356-5948
Mailing address
PO BOX 843
PORTALES, NM 88130-0843
Phone: (575) 356-6695 Fax: (575) 356-5948
Organization Subpart
No
Authorized Official
SEFERINO MONTANO
CEO
Phone: (575) 356-6695
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.