| La Casa Family Health Center | |
|
1521 West 13th Street Clovis NM 88101 | |
| (505) 769-0888 | |
| (505) 763-9154 |
| Full Name | La Casa Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1521 West 13th Street, Clovis, New Mexico |
| Authorized Official Name and Position | Seferino Montano (CEO) |
| Authorized Official Contact | 5053566695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Family Health Center Po Box 843 Portales NM 88130 Ph: (505) 356-6695 | La Casa Family Health Center 1521 West 13th Street Clovis NM 88101 Ph: (505) 769-0888 |
| NPI Number | 1518067669 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 9234032939 |
|---|---|
| Medicare Enrollment ID | O20101110001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518067669 | NPI | - | NPPES |
| 46976 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6415 (New Mexico) | Primary |
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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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