| La Casa Dental School Clinic | |
|
400 Lockwood Drive Clovis NM 88101-8445 | |
| (575) 769-5021 | |
| (575) 763-9154 |
| Full Name | La Casa Dental School Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 400 Lockwood Drive, Clovis, New Mexico |
| Authorized Official Name and Position | Seferino Montano (CEO) |
| Authorized Official Contact | 5753566695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Dental School Clinic Po Box 843 Portales NM 88130-0843 Ph: (575) 356-6695 | La Casa Dental School Clinic 400 Lockwood Drive Clovis NM 88101-8445 Ph: (575) 769-5021 |
| NPI Number | 1730485244 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 01/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730485244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Lockmiller Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 North Prince Street, Suite C, Clovis, NM 88101 Phone: 575-742-8911 Fax: 575-742-8902 | |
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Blue And Red Bird Corporation, Pc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W 14th St, Clovis, NM 88101 Phone: 575-762-6492 Fax: 757-935-8333 | |
T. Charles Hillis, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Main St, Ste 31, Clovis, NM 88101 Phone: 575-763-4057 Fax: 575-763-4091 | |
Aquickcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 W 21st St, Suite E3, Clovis, NM 88101 Phone: 575-769-2533 | |
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