| La Casa Family Health Center | |
|
121 N Main St Melrose NM 88124 | |
| (575) 253-4212 | |
| (575) 253-4214 |
| Full Name | La Casa Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 121 N Main St, Melrose, New Mexico |
| Authorized Official Name and Position | Seferino M Montano (CEO) |
| Authorized Official Contact | 5753566695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Family Health Center 121 Main St Melrose NM 88124-9680 Ph: (575) 253-4212 | La Casa Family Health Center 121 N Main St Melrose NM 88124 Ph: (575) 253-4212 |
| NPI Number | 1790072478 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790072478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rgh Melrose Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Main St, Melrose, NM 88124 Phone: 575-253-4373 |