LA CASA FAMILY HEALTH CENTER – NPI #1972603165
Clinic/Center

LA CASA FAMILY HEALTH CENTER is an AHC clinic located in PORTALES, NM. NPPES has assigned the NPI number 1972603165 to LA CASA FAMILY HEALTH CENTER on September 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LA CASA FAMILY HEALTH CENTER” 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)

The NPI profile was previously updated about 18 years ago on Jul 30, 2008. 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 FAMILY HEALTH CENTER below.

NPI Profile for
LA CASA DE BUENA SALUD INC.

NPI Number
1972603165
Enumeration Date

(more than 19 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 FAMILY HEALTH CENTER
Primary location
1515 W FIR
PORTALES, NM 88130
Phone: (505) 356-6695 Fax: (505) 356-5948
Mailing address
PO BOX 843
PORTALES, NM 88130
Phone: (505) 356-6695 Fax: (505) 356-5948
Organization Subpart
No
Authorized Official
SEFERINO MONTANO
CEO
Phone: (505) 356-6695
Updated
Identifiers

Identifiers for LA CASA FAMILY HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM48033
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)		 NM 6338

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.