La Casa Family Health Center | |
103 Don Pablo Lane Hondo NM 88336 | |
(505) 653-4830 | |
(505) 653-4833 |
Full Name | La Casa Family Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 103 Don Pablo Lane, Hondo, New Mexico |
Authorized Official Name and Position | Seferino M Montano (CEO) |
Authorized Official Contact | 5053566695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Casa Family Health Center 103 Don Pablo Lane Hondo NM 88336 Ph: (505) 653-4830 | La Casa Family Health Center 103 Don Pablo Lane Hondo NM 88336 Ph: (505) 653-4830 |
NPI Number | 1205957487 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205957487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |