La Clinica
LBN: Southwest Wellness
La Clinica is an health care organization with primary practice located at 3201 N Ridge Loop Dr , Silver City NM 88061-7243. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Birthing, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Southwest Wellness can be contacted via phone (575) 388-4251, or through Mccosh, Shauna Michelle via phone (575) 388-4251.
Contact Information
Primary practice address
3201 N Ridge Loop Dr
Silver City NM 88061-7243
Phone: (575) 388-4251
Fax: (575) 388-4514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Birthing | 261QB0400X | 588 | New Mexico |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | CNP01356 | New Mexico |
Profile Details
| NPI number | 1295158954 |
|---|---|
| LBN Legal business name | Southwest Wellness |
| DBA Doing business as | La Clinica |
| Authorized official | Mccosh, Shauna Michelle CNP, CNM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2014 |
| Last updated | Jan 30th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295158954 | NPPES |
| New Mexico | MEDICAID | 000S6635 |
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